Stefanie Carreon, MSN-FNP
Individual provider Active NPI Family Nurse Practitioner · Midlothian, TX
NPI 1659522381 · NPPES record last updated Oct 27, 2009
Key facts
- NPI
- 1659522381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 705871 (TX)
- Practice address
- 1441 S Midlothian Pkwy
Suite 100
Midlothian, TX 76065-5591 - Phone
- (972) 723-1474
- Fax
- (972) 723-9423
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 705871 | TX | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 705871 | TX | |
| Family Nurse Practitioner | 363LF0000X | 705871 | TX | Yes |
Addresses
Primary practice location
1441 S Midlothian Pkwy
Suite 100
Midlothian, TX 76065-5591
Mailing address
1441 S Midlothian Pkwy
Suite 100
Midlothian, TX 76065-5591
Phone (972) 723-1474
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199375002 | Medicaid | TX | |
| 199375001 | Medicaid | TX |
Other providers in Midlothian, TX
- Camonex Vision Homecare, Inc.
- Priscilla Campos
- Carli Capps
- Care Hub Inc
- Care Hub LLC
- Derrick Carrillo
- Desare Alexandra Castro
- Tala Chaaban
- Chalice Pharmaceuticals
- Charlie Ruby D O P a
All providers in Midlothian, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.