Provider Demographics
NPI:1467571364
Name:STIERLE, NANCY MICHELLE (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:MICHELLE
Last Name:STIERLE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2059 BENT TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-9301
Mailing Address - Country:US
Mailing Address - Phone:734-327-8372
Mailing Address - Fax:
Practice Address - Street 1:410 W RUSSELL ST
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1167
Practice Address - Country:US
Practice Address - Phone:734-429-1650
Practice Address - Fax:734-429-1653
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5032029108183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist