Individual
MANDI BURTON CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
Mailing address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
363A00000X
Physician Assistant
Primary
PA60575934
WA
Other
Enumeration date
08/08/2011
Last updated
05/22/2025
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