Healthcare Provider Details

I. General information

NPI: 1285032979
Provider Name (Legal Business Name): NICHOLAS STANLEY CARTE PHD, MSN, A/GNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2014
Last Update Date: 11/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 WRIGHTSVILLE AVE UNIT G
WILMINGTON NC
28403-4115
US

IV. Provider business mailing address

3333 WRIGHTSVILLE AVE UNIT G
WILMINGTON NC
28403-4115
US

V. Phone/Fax

Practice location:
  • Phone: 910-367-5994
  • Fax: 844-523-8911
Mailing address:
  • Phone: 910-367-5994
  • Fax: 844-523-8911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number059325-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberRN245834
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5007705
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5007705
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: