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NPI Code Detail

MEDICARE: CARRIE ANN STANDEN DNP, PMHNP-BC

MEDICARE: CARRIE ANN STANDEN DNP, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0807XChild & Adolescent Psychiatric/Mental Health Registered Nurse4704216826MI
2363LA2200XAdult Health Nurse Practitioner4704216826MI

General Provider Information

NPI Number : 1568795177
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE ANN STANDEN DNP, PMHNP-BC
Provider Business Mailing Address
First Line : PO BOX 427
Second Line :
City : HILLMAN
State : MI
Zip : 49746-0427
Country : US
Telephone Number : 989-354-2197
Fax Number : 989-354-1952
Provider Business Practice Location Address
First Line : 205 S BRADLEY HWY
Second Line :
City : ROGERS CITY
State : MI
Zip : 49779-2137
Country : US
Telephone Number : 989-734-2052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2009
Last Update Date : 09/22/2023

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