Individual provider · Type 1 NPI
Stacey M. Carroll, PhD, APRN-BC
Adult Health Nurse Practitioner · Holden, MA
NPI number
1114102332
Active
Practice location
18 Wayland Cir
Holden, MA 01520-2439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 212620 (MA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 212620 (MA) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1114102332
Stacey M. Carroll, PhD, APRN-BC's National Provider Identifier is 1114102332, issued on Jan 7, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Holden, MA. The record was last updated on Feb 10, 2008.