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General NPI Number Information
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NPI Number | 1659227700
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Entity Type | Individual
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Provider Name | VEDNITA CARTER MD
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Gender | Female
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 913 MANOR DR NE
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City | SPRING LAKE PARK
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State | MN
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Zip | 55432-1271
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Country | US
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Telephone | 612-443-0036
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Fax |
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Provider Business Mailing Address
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Address Line | 913 MANOR DR NE
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City | SPRING LAKE PARK
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State | MN
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Zip | 55432-1271
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Country | US
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Telephone | 612-443-0036
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101047790
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 48473
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License Number State | MN
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