Mrs. Stacy Ann Nowak, PHMNP-BC
Mrs. Stacy Ann Nowak, PHMNP-BC is a Nurse Practitioner in Warren, Michigan. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Michigan.
- Years since qualifying
- 1
- Licensed in
- MI
- In the registry since
- 2021
Practice location Address checks out
12200 E 13 Mile Rd Ste 200Warren, MI 48093-3093
Phone: (586) 573-1810
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 4704272127 (MI) |
|---|
Record details
| NPI number | 1861066433 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHMNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | May 18, 2021 |
| Last updated in NPPES | June 10, 2026 |
| Certification date | June 10, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Warren
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Olga Dmitryuk
11480 E 13 Mile Rd, Warren, MI 48093-2566 · (586) 216-9253
-
Nikka Jones
12200 E 13 Mile Rd, Warren, MI 48093-3093 · (586) 573-1810
-
Mrs. Jane Denise Lozen
26811 Ryan Rd, Warren, MI 48091-4075 · (586) 755-4433
-
MS. Taneisha Mackey, PMHNP-BC
12200 E 13 Mile Rd # 200, Warren, MI 48093-3093 · (313) 595-2423
-
Safevalley Wellness Center LLC
13202 Irvington Dr, Warren, MI 48088-4761 · (502) 559-7563
-
Jessica Shantz, PMHNP-BC
8150 Old 13 Mile Rd, Warren, MI 48093-8700 · (800) 395-3223
-
Alexandra Tebay, PMHNP-BC
28212 Universal Dr, Warren, MI 48092-2433 · (586) 569-6491