Provider Demographics
NPI:1336370626
Name:EUGSTER, CARRIE V (NP-C)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:V
Last Name:EUGSTER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3559 PINE ST
Mailing Address - Street 2:
Mailing Address - City:DECKERVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48427-7703
Mailing Address - Country:US
Mailing Address - Phone:810-376-2835
Mailing Address - Fax:810-376-9412
Practice Address - Street 1:2433 BLACK RIVER ST
Practice Address - Street 2:
Practice Address - City:DECKERVILLE
Practice Address - State:MI
Practice Address - Zip Code:48427-9425
Practice Address - Country:US
Practice Address - Phone:810-376-2885
Practice Address - Fax:810-376-8301
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704212181363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner