Provider Demographics
NPI:1528000122
Name:STIGLETS, CARLEY D (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CARLEY
Middle Name:D
Last Name:STIGLETS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2721 WINDING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-9518
Mailing Address - Country:US
Mailing Address - Phone:469-569-9393
Mailing Address - Fax:214-585-0854
Practice Address - Street 1:1700 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PILOT POINT
Practice Address - State:TX
Practice Address - Zip Code:76258-3716
Practice Address - Country:US
Practice Address - Phone:940-686-5556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX613427363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144517302Medicaid
TX144517302Medicaid
TXP34401Medicare UPIN
TX144517302Medicaid
TX613292Medicare UPIN
TXP00141563Medicare PIN