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General NPI Number Information
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NPI Number | 1770595282
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Entity Type | Individual
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Provider Name | ANDREA MICHELLE CARTER MD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 1550 S PIONEER WAY STE 150
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City | MOSES LAKE
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State | WA
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Zip | 98837-4620
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Country | US
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Telephone | 509-793-9780
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Fax | 509-764-3246
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Provider Business Mailing Address
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Address Line | 660 S COOLIDGE ST
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City | MOSES LAKE
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State | WA
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Zip | 98837-1872
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Country | US
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Telephone | 509-793-9715
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Fax | 509-764-3244
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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 | MD00038480
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License Number State | WA
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