STACY GOLDBERG MPH, RN, BSN
NPI 1235468927
Registered Nurse - Nutrition Support in Troy, MI
Active since December 09, 2009
About Stacy Goldberg Mph, Rn, Bsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY GOLDBERG MPH, RN, BSN (NPI 1235468927) is an individual nutrition support provider in Troy, Michigan, licensed in Michigan (4704212928) and active in the NPI registry since December 2009.
NPPES Registry Identity
NPI1235468927
Entity TypeIndividualFemale
Primary Taxonomy163WN1003X
Provider Legal NameSTACY GOLDBERGCredential: MPH, RN, BSN
Location Address1627 W BIG BEAVER RDTroy, MI 48084-3501
Mailing AddressPo Box 250042West Bloomfield, MI 48325-0042 · (248) 563-2920 · Fax (248) 862-2022
Phone(248) 563-2920
Sole ProprietorYes
Enumeration DateDecember 9, 2009
✔ NPI 1235468927 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Nutrition SupportNursing Service Providers
Taxonomy Code163WN1003X
License✔ Licensed in MI · 4704212928
1627 W BIG BEAVER RD, Troy, MI 48084
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235468927, enumerated as an "individual" on December 09, 2009.
The provider is located at 1627 W BIG BEAVER RD TROY, MI 48084 and the phone number is (248) 563-2920.
Registered Nurse with taxonomy code 163WN1003X and a focus in Nutrition Support.
