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NPI Code Detail

MEDICARE: REBECCA KATHLEEN CARTER APRN

MEDICARE: REBECCA KATHLEEN CARTER APRN
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
1363LF0000XFamily Nurse Practitioner76688OK
2363LF0000XFamily Nurse PractitionerAPRN11032164FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
176688OTHEROKSTATE LICENSE

General Provider Information

NPI Number : 1558620922
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA KATHLEEN CARTER APRN
Provider Business Mailing Address
First Line : 6909 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33634-2213
Country : US
Telephone Number : 405-799-7400
Fax Number : 405-799-7405
Provider Business Practice Location Address
First Line : 6909 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33634-2213
Country : US
Telephone Number : 813-999-1163
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2012
Last Update Date : 02/27/2025

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