Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY LYNN BLACK-SHAW
Active Sole ProprietorSTACEY LYNN BLACK-SHAW is a Critical Care Nurse healthcare provider located in DETROIT, Michigan. NPI 1346093184 is currently active in the NPPES registry. Verify at CMS.
Critical Care Nurse · DETROIT, MI
Registration Details
- NPI Number
- 1346093184
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2024 (2.3707823398316 yrs)
- Last Updated
- Apr 10, 2024
- License
-
4704282646 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4646 JOHN R STDETROIT, MI, 482011916Browse MI providers · Browse ZIP 48201
- Phone
- 3135761000
- Primary Specialty
-
Critical Care Nurse
163WC0200X
Other Critical Care Nurse Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MS. MARY K. MUNLEY | RN, MSN, ACNP | 1124309182 |
| VICKI MARIE CLARK | RN | 1972921468 |
| MR. RYAN ARTHUR SILVERTHORN | RN | 1790153831 |
| AIDA DAMARIS MORAR | — | 1598381824 |
| OLGA FOREMAN | — | 1194307231 |
| CHIEN-TING CHEN | — | 1811644719 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.