Individual
MRS. MARY ANNE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
25 DEGRANDPRE WAY, PLATTSBURGH, NY 12901-6449
(518) 563-3260
(518) 561-2877
Mailing address
25 DEGRANDPRE WAY, PLATTSBURGH, NY 12901-6449
(518) 563-3260
(518) 561-2877
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F300505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01461018
—
NY
Enumeration date
06/27/2005
Last updated
01/18/2010
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