Carter, Stacie B
Carter, Stacie B is an individual health care provider with primary practice located at 1580 W Antelope Dr Suite 290, Layton UT 84041-1160. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Carter, Stacie B can be contacted via phone (801) 776-0880.Contact Information
Primary practice address
1580 W Antelope Dr Suite 290
Layton UT 84041-1160
Phone: (801) 776-0880
Fax: (801) 773-7399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X |
Profile Details
| NPI number | 1710180591 |
|---|---|
| LBN Legal business name | Carter, Stacie B |
| Credentials | MSN, CNM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Oct 28th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710180591 | NPPES |
| Utah | MEDICAID | 1710180591 |
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