ANGELA STATHOPOULOS NPI 1710622675

NPI Information

NPI: 1710622675
Provider Name: ANGELA STATHOPOULOS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
4084 OKEMOS RD STE A
OKEMOS, MI
ZIP 48864
Phone: (517) 347-4848
Get Directions

ANGELA STATHOPOULOS is a psychiatric/mental health nurse practitioner in Okemos, MI. ANGELA STATHOPOULOS NPI is 1710622675. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4084 OKEMOS RD STE A
OKEMOS, MI
ZIP 48864-258
Phone: (517) 347-4848
Fax: (517) 347-4844

The provider's authorized official is Jessica Maria Campos .
The authorized official title is Office Manager and has the following contact phone number (517) 347-4848.

The enumeration date for this NPI number is 5/4/2022 and was last updated on 5/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4704235236	OTHER	MICHIGAN	STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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