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Individual
STEFANIE CARREON
Active
Individual
STEFANIE CARREON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
705871
TX
363LF0000X
Family Nurse Practitioner
Primary
705871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199375001
—
TX
05
—
199375002
—
TX
Enumeration date
09/30/2008
Last updated
10/27/2009
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