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Individual

JANICE CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2086 ADDISON AVE E, TWIN FALLS, ID 83301-5306
(208) 733-9697
(208) 733-3197
Mailing address
2086 ADDISON AVE E, TWIN FALLS, ID 83301-5306
(208) 733-9697
(208) 733-3197

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP712
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807194400
ID
Enumeration date
06/18/2006
Last updated
12/03/2019
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