Healthcare Provider Details

I. General information

NPI: 1326209016
Provider Name (Legal Business Name): ERIN KD CARTER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 12/12/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UPPER RAGSDALE DR
MONTEREY CA
93940-5736
US

IV. Provider business mailing address

2 UPPER RAGSDALE DR STE B210
MONTEREY CA
93940-7851
US

V. Phone/Fax

Practice location:
  • Phone: 831-333-0999
  • Fax:
Mailing address:
  • Phone: 831-333-0999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26672
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number179194
License Number StateMT
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number9502596
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: