Individual
STACY L CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3 COOPER PLZ RM 411, CAMDEN, NJ 08103
(856) 673-4500
(856) 673-4525
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00755500
NJ
Other
Enumeration date
03/03/2018
Last updated
05/31/2018
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