Individual
REBECCA JEAN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6220 W MAIN ST, KALAMAZOO, MI 49009
(269) 276-4744
Mailing address
6220 W MAIN ST, KALAMAZOO, MI 49009-8925
(269) 276-4744
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP135111
TX
363LF0000X
Family Nurse Practitioner
Primary
4704285286
MI
363LF0000X
Family Nurse Practitioner
AP135111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3772063-01
—
TX
05
—
3772063-02
—
TX
Enumeration date
11/21/2016
Last updated
07/10/2019
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