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Individual

NICKI RAE CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., R.N., FNP-C

Contact information

Practice address
1236 E ELIZABETH ST, SUITE #2, FORT COLLINS, CO 80524-4000
(970) 221-9970
(970) 221-9971
Mailing address
1236 E ELIZABETH ST, SUITE #2, FORT COLLINS, CO 80524-4000
(970) 221-9970
(970) 221-9971

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN-103351
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07103351
CO
05
70325235
CO
Enumeration date
09/16/2006
Last updated
07/09/2007
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