Sandra Mae Stuit, NP-C
Individual provider Active NPI Family Nurse Practitioner · Breentwood, TN
NPI 1861707374 · NPPES record last updated Aug 10, 2010
Key facts
- NPI
- 1861707374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704160473 (MI)
- Practice address
- 10 Cadillac Drive Ste 350
Two Creekside Crossing
Breentwood, TN 37027 - Phone
- (888) 584-0077
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704160473 | MI | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704160473 | MI | Yes |
Addresses
Primary practice location
10 Cadillac Drive Ste 350
Two Creekside Crossing
Breentwood, TN 37027
Mailing address
2731 Durham Ave NE
Grand Rapids, MI 49505-3853
Phone (616) 363-7805
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.