Gordon-Stacey, Carrie Jean

Gordon-Stacey, Carrie Jean is an sole proprietor health care provider with primary practice located at 2231 Burdett Ave Ste 160 , Troy NY 12180-2453. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Gordon-Stacey, Carrie Jean can be contacted via phone (518) 326-1620.

Contact Information

Primary practice address
2231 Burdett Ave Ste 160 Troy NY 12180-2453
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X FOO1506-1 New York
Other Service Providers / Midwife 176B00000X 001506 New York

Profile Details

NPI number 1588904320
LBN Legal business name Gordon-Stacey, Carrie Jean
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2013
Last updated Sep 15th, 2021 - about 4 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.

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