Individual
TASSIE ANN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A110578
IA
363LC1500X
Community Health Nurse Practitioner
A110578
IA
363LF0000X
Family Nurse Practitioner
A110578
IA
363LW0102X
Women's Health Nurse Practitioner
Primary
2011008067
IA
363LW0102X
Women's Health Nurse Practitioner
A110578
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GROUP0057570
—
IA
Enumeration date
09/02/2011
Last updated
11/10/2023
Update your record
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