RENEE BETH STECHOW (NPI# 1104185693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104185693 |
| Entity Type | Individual |
| Full Name | RENEE BETH STECHOW |
| Credential | WHNP-BC, NP-C |
| Practice Address |
210 N Lafayette St South Lyon MI 48178-2048 |
| Practice Telephone | 2484371744 |
| Practice Fax Number | 2484373245 |
| Mailing Telephone | 2484371744 |
| Mailing Fax Number | 2484373245 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2016-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704234170 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
4704234170 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
210 N LAFAYETTE ST |
| City | SOUTH LYON |
| State | MI |
| Zip Code | 48178-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820463 | Thomas Joseph Anan | Family Medicine | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2005-06-02 |
| 1801304928 | Danielle Marie Konja | Behavioral Analyst | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2018-01-11 |
| 1063949121 | Lauren Elizabeth Carney | Family Medicine | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2017-05-18 |
| 1124471933 | Monica Kandola | Student in an Organized Health Care Education/Training Program | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2016-07-16 |
| 1780036855 | Jeffrey Lau | Student in an Organized Health Care Education/Training Program | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2016-07-12 |
| 1053793067 | Steve Sungmin Kim | Family Medicine | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2015-06-25 |
| 1649683590 | Maria Kostritsyna | Family Medicine | 210 N Lafayette St, Providence Medical Center, South Lyon, MI 48178-2048 | 2014-06-09 |
| 1982049003 | Lauren Powers | Family Medicine | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2013-05-02 |
| 1295094407 | Nina Desai | Family Medicine | 210 N Lafayette St, Providence Medical Center, South Lyon, MI 48178-2048 | 2012-05-08 |
| 1386937787 | Jonathon R Wolocko | Family Medicine | 210 N Lafayette St, South Lyon, MI 48178-2048 | 2011-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231815 | Bhoomi Shah | Pharmacist | 22318 Pontiac Trail, South Lyon, MI 48178 | 2020-06-27 |
| 1649811845 | Center for Emdr and Trauma Therapy | Counselor | 28900 Pontiac Trail, South Lyon, MI 48178 | 2019-09-30 |
| 1295223386 | Cathrine Michelle Arneson | Massage Therapist | 321 Pettibone St. #101a, South Lyon, MI 48178 | 2018-04-25 |
| 1033592936 | 4-serv Family Medicine P.C. | Family Medicine | 51619 Ten Mile Rd, South Lyon, MI 48178 | 2015-07-09 |
| 1003299777 | James Sullivan | Physical Therapy Assistant | 10821 Bouldercrest Drive, South Lyon, MI 48178 | 2015-06-30 |
| 1255722088 | Jennifer Nidetz | Social Worker | 23015 Cheyenne Dr, South Lyon, MI 48178 | 2015-02-16 |
| 1174938658 | Michael Samir Matar | Family Medicine | 210 N Lafayette Street, South Lyon, MI 48178 | 2014-06-24 |
| 1043633191 | Kwonsoo Kenneth Kim | Anesthesiology | 8854 Stoney Creek Dr., South Lyon, MI 48178 | 2014-01-27 |
| 1285071860 | Ajanthan Sivagurunathan | Student in an Organized Health Care Education/Training Program | 210 North Lafayette, Providence Medical Center - South Lyon, South Lyon, MI 48178 | 2013-05-23 |
| 1184890055 | Yvonne Marie Snyder | Dentist | 100 E Lake St, South Lyon, MI 48178 | 2008-05-01 |
| Find all providers in zip 48178 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447768 | Jaclyn Esther Michniak | Nurse Practitioner | 11401 N Rushton Rd, South Lyon, MI 48178-9123 | 2019-09-23 |
| 1003379306 | Treesa Antony | Nurse Practitioner | 700 Reynold Sweet Pkwy, South Lyon, MI 48178-1816 | 2019-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH LYON |
| Zip Code | 48178 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.