Individual
STACEY J CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NP-C
Contact information
Practice address
802 W KING ST STE E, OWOSSO, MI 48867-2100
(989) 729-4131
(989) 729-4139
Mailing address
802 W KING ST STE E, OWOSSO, MI 48867-2100
(989) 729-4131
(989) 729-4139
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704253664
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437591492
—
MI
Enumeration date
07/19/2013
Last updated
08/08/2023
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