Healthcare Provider Details

I. General information

NPI: 1508682345
Provider Name (Legal Business Name): HAROLD CARTIER NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 LANGSTON BLVD
ARLINGTON VA
22207-3721
US

IV. Provider business mailing address

2609 P ST NW
WASHINGTON DC
20007-3063
US

V. Phone/Fax

Practice location:
  • Phone: 703-243-7640
  • Fax:
Mailing address:
  • Phone: 571-230-0435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024191908
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: