Stephanie Louise Todd, NP | |
204 E Muskegon St, Cedar Springs, MI 49319-9326 | |
(616) 696-3470 | |
Not Available |
Full Name | Stephanie Louise Todd |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 204 E Muskegon St, Cedar Springs, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679133086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 4704267067 (Michigan) | Primary |
Entity Name | Cherry Street Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558459164 PECOS PAC ID: 6800707647 Enrollment ID: O20040804000274 |
Mailing Address | Practice Location Address |
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Stephanie Louise Todd, NP 4906 Kimball Ave Se, Grand Rapids, MI 49508-4830 Ph: (616) 560-0783 | Stephanie Louise Todd, NP 204 E Muskegon St, Cedar Springs, MI 49319-9326 Ph: (616) 696-3470 |
Mary F Wilson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14211 White Creek Ave Ne, Cedar Springs, MI 49319 Phone: 616-252-6320 Fax: 616-252-6360 | |
Sarah Lex, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 261 N Main, Cedar Springs, MI 49319 Phone: 616-696-2020 | |
Mrs. Kathrine E Post, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14211 White Creek Ave Ne, Cedar Springs, MI 49319 Phone: 616-252-6320 Fax: 616-252-6360 |