Healthcare Provider Details

I. General information

NPI: 1467361733
Provider Name (Legal Business Name): CHRISTINE MARIE CARTER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 WALNUT ST
JOHNSTOWN PA
15901-1625
US

IV. Provider business mailing address

131 MARKET ST
JOHNSTOWN PA
15901-1628
US

V. Phone/Fax

Practice location:
  • Phone: 814-534-0745
  • Fax:
Mailing address:
  • Phone: 814-535-2277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN650429
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: