Individual
BENJAMIN MICHAEL CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-1682
(985) 230-1617
Mailing address
PO BOX 3087, CREDENTIALING, HAMMOND, LA 70404-3087
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN100965
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04868
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1582867
—
LA
Enumeration date
04/10/2007
Last updated
01/06/2023
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