Individual
MR. STEPHEN M CARRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2450 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2179
(702) 877-8661
(702) 258-1322
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3272
(702) 667-4667
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN77203
NV
367500000X
Certified Registered Nurse Anesthetist
162001
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000436
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114989779
—
NV
Enumeration date
04/06/2006
Last updated
01/15/2015
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