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Individual

MRS. ANGELA CAROL CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2012034937
MO
363LN0000X
Neonatal Nurse Practitioner
76879
KS
363LN0005X
Critical Care Neonatal Nurse Practitioner
12831
TN

Other

Enumeration date
07/18/2007
Last updated
03/03/2016
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