Individual
MS. WANETA JOHANNA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SNP-C
Contact information
Practice address
12630 N 103RD AVE STE 142, SUN CITY, AZ 85351-3463
(480) 275-2022
Mailing address
2632 S 83RD AVE # 100-259, PHOENIX, AZ 85043-7206
(623) 810-4270
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
274297
AZ
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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