Individual
TIFFANY KINTON CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRAIL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(919) 882-0795
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
183953
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
085559
NC
Other
Enumeration date
08/23/2010
Last updated
04/01/2016
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