Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Stacie Dawn Vanderver

Individual provider Pediatric Registered Nurse · NPI 1790019222

Mrs. Stacie Dawn Vanderver is a Pediatric Registered Nurse in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009

Practice location Address checks out

2850 S Industrial Hwy Spc 5758
Ann Arbor, MI 48104-6796
Phone: (734) 477-7298
Fax: (734) 998-2369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Registered Nurse (primary) Taxonomy 163WP0200X · Licence 4704254099 (MI)

Record details

NPI number1790019222
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2009
Last updated in NPPESSeptember 30, 2009

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