Dr. Stacey M Carroll, PHD, APRN-BC
Nurse Practitioner, Adult Health in Holden, Massachusetts
1114102332- Practice location
- 18 Wayland Cir, Holden, MA 01520-2439
- Phone
- 508-829-7847
- Fax
- —
- Last updated
- February 10, 2008
Stacey M Carroll is a Nurse Practitioner, Adult Health based in Holden, MA. Stacey M Carroll practices in Holden, MA and has the professional credentials of PHD, APRN-BC. The NPI Number for Stacey M Carroll is 1114102332 and holds a License No. 212620 (MA). The current practice location address for Stacey M Carroll is 18 Wayland Cir, Holden, MA 01520-2439 and can be reached out via phone at 508-829-7847.
Provider Profile Details
- NPI Number
- 1114102332
- Provider Name
- Stacey M Carroll
- Credential
- PHD, APRN-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 18 Wayland Cir, Holden, MA 01520-2439
- Phone Number
- 508-829-7847
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Other Names
- Ms. Stacey M Cordwell (Former Name)
- Provider Enumeration Date
- January 7, 2008
- Last Update Date
- February 10, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18 Wayland Cir
Holden, MA 01520-2439 - City
- Holden
- State
- Massachusetts
- Zip
- 01520-2439
- Phone Number
- 508-829-7847
Provider Business Mailing Address Details
- Address
- 18 Wayland Cir
Holden, MA 01520-2439 - City
- Holden
- State
- MA
- Zip
- 01520-2439
- Phone Number
- 508-829-7847
License Information
- License Number (1)
- 212620
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse, Gerontology · 163WG0600X
- License Number (2)
- 212620
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Stacey M Carroll, PHD, APRN-BC?
The NPI number of Dr. Stacey M Carroll, PHD, APRN-BC is 1114102332. It was assigned on January 7, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Stacey M Carroll, PHD, APRN-BC?
Dr. Stacey M Carroll, PHD, APRN-BC is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number 212620.
Where does Dr. Stacey M Carroll, PHD, APRN-BC practice?
The practice location is 18 Wayland Cir, Holden, MA 01520-2439. The office can be reached at 508-829-7847 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114102332 directly on the NPPES registry website.