Individual
MRS. ANDREA ELIZABETH CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
130 W. RAVINE RD., KINGSPORT, TN 37660-0911
(423) 224-4000
(423) 224-4746
Mailing address
1005 FORREST RIDGE DRIVE, KINGSPORT, TN 37660
(423) 341-9473
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000192500
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
24999
TN
Other
Enumeration date
07/31/2018
Last updated
08/01/2019
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