Individual
MRS. AMBER REAGAN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1100 N KIMBALL AVE STE 110, SOUTHLAKE, TX 76092-4726
(817) 251-7995
Mailing address
520 SHORELINE RIDGE DR, LITTLE ELM, TX 75068-1722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1112215
TX
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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