Provider Demographics
NPI:1821538026
Name:STOKELY-HAMDAN, NATALYA (NP-C)
Entity Type:Individual
Prefix:
First Name:NATALYA
Middle Name:
Last Name:STOKELY-HAMDAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 FERRY ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-1905
Mailing Address - Country:US
Mailing Address - Phone:734-751-9514
Mailing Address - Fax:
Practice Address - Street 1:3410 FERRY ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-1905
Practice Address - Country:US
Practice Address - Phone:734-751-9514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704256660363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner