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General NPI Number Information
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NPI Number | 1396206462
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Entity Type | Individual
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Provider Name | STORMIE RAE CARTER MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2019
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 3952 PARKVIEW DR
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City | CHEYENNE
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State | WY
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Zip | 82001-8102
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Country | US
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Telephone | 307-637-7700
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Fax | 855-323-5740
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Provider Business Mailing Address
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Address Line | 5419 LANCASHIRE DR
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City | SAN ANTONIO
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State | TX
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Zip | 78230-4121
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Country | US
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Telephone | 817-980-1329
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 15772A
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License Number State | WY
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