Provider Demographics
NPI:1710502810
Name:STIER, ASHLEY (APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:STIER
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36555 26 MILE RD STE 3600
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MI
Mailing Address - Zip Code:48048-3189
Mailing Address - Country:US
Mailing Address - Phone:586-701-2300
Mailing Address - Fax:586-701-2555
Practice Address - Street 1:36555 26 MILE RD STE 3600
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MI
Practice Address - Zip Code:48048-3189
Practice Address - Country:US
Practice Address - Phone:586-701-2300
Practice Address - Fax:586-701-2555
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704260658363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily