Stackhouse, Carletta

Stackhouse, Carletta is an sole proprietor health care provider with primary practice located at 275 Broadway , Lynbrook NY 11563-3243. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Stackhouse, Carletta can be contacted via phone (516) 515-0597.

Contact Information

Primary practice address
275 Broadway Lynbrook NY 11563-3243
Phone: (516) 515-0597
Fax: (516) 837-9847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 524609 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 307783 New York

Profile Details

NPI number 1750743746
LBN Legal business name Stackhouse, Carletta
Credentials MS, AGPCNP-BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2016
Last updated Aug 6th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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