MRS. STACY MARIE KARLE


Address: 401 Young Ave Ste 146b, Moorestown, NJ 08057-3130
Phone: 8562477310

MRS. STACY MARIE KARLE (NPI# 1932759255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932759255
Entity Type Individual
Full Name MRS. STACY MARIE KARLE
Other Name MS. STACY MARIE VANDERBILT
Credential NURSE PRACTITIONER
Practice Address 401 Young Ave Ste 146b
Moorestown
NJ 08057-3130
Mailing Address 301 Lippincott Dr Ste 410
Marlton
NJ 08053-4197
Practice Telephone 8562477310
Practice Fax Number 8562477309
Mailing Telephone 8563550340
Mailing Fax Number 8563550330
Enumeration Date 2019-09-18
Last Update Date 2020-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
26NJ00960300 NJ Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 Bowman Dr Ste E315, Voorhees, NJ 080439637 8562477310 8562477309

Office Location

Street Address 401 YOUNG AVE STE 146B
City MOORESTOWN
State NJ
Zip Code 08057-3130

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518501683 Melissa M Thompson Nurse Practitioner 401 Young Ave, Moorestown, NJ 08057-3130 2019-11-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770104648 Veronica P Garces Nurse Practitioner 716 Broad St Ste 2a, Clifton, NJ 07013-1645 2020-05-02
1497394878 Michele Anne Strykowsky Nurse Practitioner 227 Laurel Rd, Ste 300, Voorhees, NJ 08043-8303 2020-01-02
1528601564 Whitney Grimm Nurse Practitioner 1200 Clinton St Apt 520, Hoboken, NJ 07030-3293 2019-10-22
1609424043 Alicia Kevette Rogers Nurse Practitioner 128 Rehill Ave Ste 1100, Somerville, NJ 08876-2519 2019-08-28
1477018273 Yvonne Elizabeth Brown Nurse Practitioner 59 Main St Ste 207, West Orange, NJ 07052-5333 2019-02-05
1124595723 Patience Marks Nurse Practitioner 15 Shaw Avenue, Newark, NJ 07112 2018-11-01
1861977043 Vaidehi Patel Nurse Practitioner 101 Lawrence Rd, Parsippany, NJ 07054-3146 2018-10-03
1982184727 Julie Black Nurse Practitioner 8008 Route 130 Ste 305, Delran, NJ 08075-1869 2018-08-21
1730669953 Stephanie Ellen Kintzing Nurse Practitioner 841 Franklin Ave Ste 5, Franklin Lakes, NJ 07417-1418 2018-08-16
1124525514 Sheirill Maejan Nurse Practitioner 7400 Bergenline Ave, North Bergen, NJ 07047-5449 2018-04-11
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Competitor

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City MOORESTOWN
Zip Code 08057

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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