Individual
STEPHANIE LYNN CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
300 MERIDIAN CENTRE BLVD STE 320, ROCHESTER, NY 14618-3984
(999) 999-9999
Mailing address
6656 ROUTE 5, PORTLAND, NY 14769-9630
(716) 785-1950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F351174-01
NY
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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