Healthcare Provider Details

I. General information

NPI: 1184546491
Provider Name (Legal Business Name): RAMONA STEBELTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 W PINE LAKE DR
NEWAYGO MI
49337-9264
US

IV. Provider business mailing address

4299 W SUGAR BUSH LN
GRANT MI
49327-8596
US

V. Phone/Fax

Practice location:
  • Phone: 231-652-5130
  • Fax: 616-267-9047
Mailing address:
  • Phone: 941-228-9035
  • Fax: 616-267-9047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number4704297156
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: