Individual provider · Type 1 NPI
Carletta Stackhouse, MS, AGPCNP-BS
Adult Health Nurse Practitioner · Lynbrook, NY
NPI number
1750743746
Active
Practice location
275 Broadway
Lynbrook, NY 11563-3243
Fax (516) 837-9847
Mailing address
PO Box 328
Malverne, NY 11565-0328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 524609 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 307783 (NY) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
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- Charles Thomas Carre, NPAdult Health Nurse Practitioner Lynbrook, NY NPI 1578839619
- Lorraine Farucci, NPAdult Health Nurse Practitioner Lynbrook, NY NPI 1659357028
- Mauricio VergaraAdult Health Nurse Practitioner Lynbrook, NY NPI 1831966985
- Margaret Marion O'Donnell, A.N.PAdult Health Nurse Practitioner Lynbrook, NY NPI 1982817482
About NPI 1750743746
Carletta Stackhouse, MS, AGPCNP-BS's National Provider Identifier is 1750743746, issued on Mar 28, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lynbrook, NY. The record was last updated on Aug 6, 2026.