Stacey Lynn Black-Shaw
Stacey Lynn Black-Shaw is a Critical Care Medicine Registered Nurse in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2024
Practice location Address checks out
4646 John R StDetroit, MI 48201-1916
Phone: (313) 576-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Critical Care Medicine Registered Nurse (primary) | Taxonomy 163WC0200X · Licence 4704282646 (MI) |
|---|
Record details
| NPI number | 1346093184 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2024 |
| Last updated in NPPES | April 10, 2024 |
| Certification date | April 10, 2024 |
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