Individual
MELINDA ANNE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 841
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503272
—
NV
05
—
100503580
—
NV
01
—
1568434561
SMA MEDICAID
NV
01
—
V114103
SMA MEDICARE
NV
Enumeration date
02/03/2006
Last updated
08/09/2016
Update your record
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