Individual
COLETTE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 498-1881
Mailing address
1200 W STATE ST, ROCKFORD, IL 61102-2112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012268
IL
Other
Enumeration date
01/23/2015
Last updated
06/13/2024
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