Individual provider · Type 1 NPI
Stacey Mousaw Carpenter, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Syracuse, NY
NPI number
1619657137
Active
Practice location
301 Prospect Ave
Syracuse, NY 13203-1899
Mailing address
5465 Orangeport Rd Unit 503
Brewerton, NY 13029-1804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404991 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1619657137
Stacey Mousaw Carpenter, PMHNP's National Provider Identifier is 1619657137, issued on Jul 19, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Syracuse, NY. The record was last updated on Jul 19, 2023.