MEDICARE: VERONICA L CARTER FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2014004551	MO

General Provider Information

NPI Number	:	1255758801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA L CARTER FNP-C

Provider Business Mailing Address
First Line	:	400 E RED BRIDGE RD STE 207
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-4030
Country	:	US
Telephone Number	:	913-681-2398
Fax Number	:	913-681-2416

Provider Business Practice Location Address
First Line	:	400 E RED BRIDGE RD STE 207
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-4030
Country	:	US
Telephone Number	:	913-681-2398
Fax Number	:	913-681-2416

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2014
Last Update Date	:	11/22/2024

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