Individual
STEFANIE M CARMICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UK INTENSIVE CARE UNIT, 800 ROSE ST, LEXINGTON, KY 40536-0293
(859) 323-5956
Mailing address
2501 N ORANGE AVE STE 401, ORLANDO, FL 32804-4644
(407) 303-7283
(407) 303-0347
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1121371
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3008882
KY
363LA2100X
Acute Care Nurse Practitioner
ARNP9398816
FL
Other
Enumeration date
10/01/2014
Last updated
06/04/2020
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