Individual
DR. STACEY M CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APRN-BC
Contact information
Practice address
18 WAYLAND CIR, HOLDEN, MA 01520-2439
(508) 829-7847
Mailing address
18 WAYLAND CIR, HOLDEN, MA 01520-2439
(508) 829-7847
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
212620
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
212620
MA
Other
Enumeration date
01/07/2008
Last updated
02/10/2008
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