Healthcare Provider Details

I. General information

NPI: 1720337264
Provider Name (Legal Business Name): KATHRENE RENEE CARTER DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRENE CARTER BRENDELL DNP

II. Dates (important events)

Enumeration Date: 08/30/2012
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 RIDGEFIELD BLVD STE 250
ASHEVILLE NC
28806-2287
US

IV. Provider business mailing address

460 LANGDON ST
SPARTANBURG SC
29302-1614
US

V. Phone/Fax

Practice location:
  • Phone: 828-633-6070
  • Fax: 828-633-6073
Mailing address:
  • Phone: 864-582-2711
  • Fax: 864-582-7179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5014214
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number25149
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number17982
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: