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Individual

BETTE CARDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
24849 MS HWY 15, MATHISTON, MS 39752
(662) 634-3089
(662) 634-3063
Mailing address
PO BOX 190, MATHISTON, MS 39752-0190
(662) 634-3089

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R558273
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06054271
MS
Enumeration date
08/23/2005
Last updated
11/16/2017
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