Individual
STEPHANIE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
122 WYOMING ST, DAYTON, OH 45409-2731
(937) 438-8640
Mailing address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0032192
OH
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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