Individual
MANDY MICHELLE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
921 TEXAS BLVD STE D, TEXARKANA, TX 75501-5163
(903) 792-3660
Mailing address
921 TEXAS BLVD STE D, TEXARKANA, TX 75501-5163
(903) 792-3660
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
001653
TX
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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