Individual
KAREN ALDEN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
170 MEDICAL PARK RD STE 101, MOORESVILLE, NC 28117-8541
(980) 302-7070
(980) 302-7075
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004890
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232009
MEDICARE, GROUP PTAN
NC
01
—
2595059
MEDICARE PTAN, INDIVIDUAL
NC
Enumeration date
10/04/2010
Last updated
08/12/2021
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