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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY STASA, CNP

Active

KELLY STASA, CNP is a Family Nurse Practitioner healthcare provider located in BLISSFIELD, Michigan. NPI 1912378134 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · BLISSFIELD, MI

Registration Details

NPI Number
1912378134
Provider Type
Individual
Gender
Female
NPI Issued
Oct 14, 2015 (10.686815248384 yrs)
Last Updated
Nov 3, 2023
Licenses
COA.17942-NP (OH)
4704279024 (MI)

Practice Information

Address
157 W BROOKE LN
BLISSFIELD, MI, 492288601
Browse MI providers · Browse ZIP 49228
Phone
5174862411
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in BLISSFIELD, MI

Name Credential NPI
MAURA ANN CRESCENZO NP 1518341098
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.