Provider Demographics
NPI:1023789740
Name:CAMARATA-STRESS, MICHELLE (NP-C)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:CAMARATA-STRESS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:CAMARATA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28415 ALGER BLVD
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-4560
Mailing Address - Country:US
Mailing Address - Phone:586-883-2628
Mailing Address - Fax:
Practice Address - Street 1:660 WOODWARD AVE STE 2430
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48226-3502
Practice Address - Country:US
Practice Address - Phone:313-457-9355
Practice Address - Fax:313-447-2444
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-22
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704290628363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily