Individual
MRS. HEATHER D CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
524 W. BROAD ST B, SOUTHEAST INC PRIMARY CARE AT FRANKLIN STATION, COLUMBUS, OH 43215
(614) 224-4850
Mailing address
4711 TATERSALL CT, COLUMBUS, OH 43230-8324
(614) 946-5497
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN135888-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2988174
—
OH
Enumeration date
10/13/2009
Last updated
03/14/2016
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