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General NPI Number Information
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NPI Number | 1427890656
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Entity Type | Individual
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Provider Name | MICHELLE CLAUDETTE CARTER PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/10/2024
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 2415 HIGH SCHOOL AVE STE 800
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City | CONCORD
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State | CA
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Zip | 94520-1858
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Country | US
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Telephone | 925-687-5210
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Fax | 925-687-5091
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Provider Business Mailing Address
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Address Line | 3933 LA CRESENTA RD
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City | EL SOBRANTE
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State | CA
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Zip | 94803-2919
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Country | US
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Telephone | 702-785-3922
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA65886
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License Number State | CA
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