Mandy Michelle Carter, ACNP
Nurse Practitioner, Acute Care in Texarkana, TX. Individual provider (NPI-1).
NPI number1699066969
StatusActive
Last updated in NPPESApr 21, 2011
Details
- NPI
- 1699066969
- Entity type
- Individual (NPI-1)
- Name
- Mandy Michelle Carter
- Credential
- ACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2011
- Last updated
- Apr 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 001653 | TX | Yes |
Practice location
921 Texas Blvd Ste DTexarkana, TX 75501-5163
Phone 903-792-3660
Mailing address
921 Texas Blvd Ste DTexarkana, TX 75501-5163
Phone 903-792-3660
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