Carrie Nicole Fisher Stalter, NP

NPI #1982914834 in Peoria, Illinois

Provider Information

NPI Number
1982914834
Entity Type
Individual
Name
Carrie Nicole Fisher Stalter, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Oct 13, 2010
Last Updated
Oct 13, 2010

Practice Location

Address
530 NE GLEN OAK AVE
Address 2
OSF ST FRANCIS MEDICAL CENTER/TRAUMA SERVICE
City
Peoria
ZIP Code
61637
Phone
(309) 655-2295

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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