Individual
DEBORAH CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1394
(712) 279-2505
Mailing address
233 W 1ST ST, WACONIA, MN 55387-1302
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
091644
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1226498
—
IA
01
—
30121
BLUE CROSS
IA
Enumeration date
08/10/2005
Last updated
03/03/2015
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