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Individual
LISA YVONNE CARTER
Active
Individual
LISA YVONNE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
R68406
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A003513
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185386795
—
AR
Enumeration date
02/01/2011
Last updated
08/30/2016
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