NPI | 1073780151 |
---|---|
Former Name | STEFANY R CARSTENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 005795-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO NP-5795) |
363LF0000X Nurse Practitioner, Family (Licence: CO RXP-1058) | |
Enumeration Date | 2008-05-08 |
Last Update Date | 2022-12-19 |