MS. STACY LYNN CARON AGPCNP NPI 1528706736

NPI Information

NPI: 1528706736
Provider Name: MS. STACY LYNN CARON, AGPCNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
200 MILL RD
FAIRHAVEN, MA
ZIP 02719
Phone: (508) 973-3228
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MS. Stacy Lynn Caron, AGPCNP is a gerontology nurse practitioner in Fairhaven, MA with 2 years of experience. MS. Stacy Lynn Caron, AGPCNP NPI is 1528706736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2022

The provider's business location address is:

200 MILL RD
FAIRHAVEN, MA
ZIP 02719-252
Phone: (508) 973-3228
Fax: (508) 973-3215

The NPI 1528706736 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2022 and was last updated on 9/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	RN2301388	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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