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Stacey Renee Carson, NP
Family Nurse Practitioner in Sacramento, California
NPI 1669185187

Stacey Renee Carson is a Family Nurse Practitioner based in Sacramento, CA and is specialized in Family. Stacey Renee Carson practices in Sacramento, CA and has the professional credentials of NP. The NPI Number for Stacey Renee Carson is 1669185187 and holds a License No. 95016911 (California).

The current practice location address for Stacey Renee Carson is 4600 Broadway Ste 1400, Sacramento, CA and can be reached out via phone at 916-875-1551.

Location: 4600 Broadway Ste 1400, Sacramento, CA, 95820-1527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669185187
Provider Name
Stacey Renee Carson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4600 Broadway Ste 1400, Sacramento, CA, 95820-1527
Phone Number
916-875-1551
Fax Number
Provider Enumeration Date
12/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4600 Broadway Ste 1400
City
Sacramento
State
California
Zip
95820-1527
Phone Number
916-875-1551
Fax Number
person
Provider Business Mailing Address Details
Address
4600 Broadway Ste 1400
City
Sacramento
State
California
Zip
95820-1527
Phone Number
916-875-1551
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95016911 (California)
Definition
Definition to come...
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