Healthcare Provider Details

I. General information

NPI: 1285917146
Provider Name (Legal Business Name): KARLA FAYE CARTER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 11/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 HOSPITAL BLVD
PINEVILLE LA
71360-6903
US

IV. Provider business mailing address

352 HOSPITAL BLVD
PINEVILLE LA
71360-6903
US

V. Phone/Fax

Practice location:
  • Phone: 318-473-1426
  • Fax: 318-473-1435
Mailing address:
  • Phone: 318-473-1426
  • Fax: 318-473-1435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP06523
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP06523
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: