Individual
CARLIE STEWART SOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
305 E LEE AVE, YADKINVILLE, NC 27055-8132
(336) 679-2661
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5021487
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
01/09/2025
Last updated
03/27/2025
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