| Doctor Name: | CARRIE ANN STANDEN |
| NPI Number: | 1568795177 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN ANP-BC |
| License Number: | 4704216826 |
| Business Practice Address: | 11745 Us Highway 23 S Ossineke, MI - 497669582 |
| Business Phone Number: | 9894712156 |
| Business Fax Number: | |
| Mailing Address: | Po Box 279, LINCOLN |
| State: | MI |
| Postal Code: | 487420279 |
| Phone Number: | 9897368157 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 02/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4704216826 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |