NPI 1013290618

Stacey Carlson, CNA

Practitioner Nurse's Aide Oshkosh, WI

Practice location

Address: 220 Washington Ave, Oshkosh, WI 54901-5030
Phone: (920) 236-4700

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 219464 (WI)

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Registry record

NPI: 1013290618
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2011
Record last updated: 21 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.