MS. Stacy Carson
NPI #1366793036 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1366793036
- Entity Type
- Individual
- Name
- MS. Stacy Carson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Sep 21, 2012
- Last Updated
- Sep 21, 2012
Practice Location
- Address
- 3995 S 92ND ST
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53228-2100
- Phone
- (414) 918-2313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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