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Individual
KATHRENE RENEE CARTER
Active
Individual
KATHRENE RENEE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
17982
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
25149
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5014214
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4350
MEDICARE PART B GROUP #
SC
05
—
CBP018
—
SC
05
—
FQC031
—
SC
Enumeration date
08/30/2012
Last updated
03/26/2025
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