Provider Demographics
NPI:1700590247
Name:STEFLJA, NATALIE ANNE (RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANNE
Last Name:STEFLJA
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 SOUTH BLVD E STE 150
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-6115
Mailing Address - Country:US
Mailing Address - Phone:248-853-6300
Mailing Address - Fax:
Practice Address - Street 1:1701 SOUTH BLVD E STE 150
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-6115
Practice Address - Country:US
Practice Address - Phone:248-853-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704348784363L00000X
MI390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program