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

Individual provider Acute Care Nurse Practitioner · NPI 1508387812

Stephanie M Park, NP is a Nurse Practitioner in Ann Arbor, Michigan. Qualified in 2017, 9 years ago. Practices with Straub Clinic and Hospital, a 423-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1500 E Medical Center Dr 3rd Fl Cardiovascular Center Recp C
Ann Arbor, MI 48109-5864
Phone: (888) 287-1082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704300247 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 4704300247 (MI)

Record details

NPI number1508387812
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 28, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Straub Clinic And Hospital — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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