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Individual
STEPHANIE CARLEZON
Active
Individual
STEPHANIE CARLEZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RN2299197
MA
363LP0200X
Pediatric Nurse Practitioner
APRN02820
RI
390200000X
Student in an Organized Health Care Education/Training Program
RN2299197
MA
Other
Enumeration date
02/15/2016
Last updated
03/13/2025
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