Provider Demographics
NPI:1245955368
Name:STIGGER, MONIQUE KAY (RN)
Entity type:Individual
Prefix:MS
First Name:MONIQUE
Middle Name:KAY
Last Name:STIGGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:MONIQUE
Other - Middle Name:KAY
Other - Last Name:STIGGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN-CASE MANAGEMENT
Mailing Address - Street 1:28815 ELMWOOD ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-2473
Mailing Address - Country:US
Mailing Address - Phone:313-205-5789
Mailing Address - Fax:
Practice Address - Street 1:18000 W 9 MILE RD STE 525
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4080
Practice Address - Country:US
Practice Address - Phone:248-327-6196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704273304363LF0000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily