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NPI Code Detail

MEDICARE: HEATHER R CARTER ARNP

MEDICARE: HEATHER R CARTER ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner143102KS
2363LF0000XFamily Nurse Practitioner2011016063MO
3363L00000XNurse Practitioner1-145166AL

General Provider Information

NPI Number : 1043508310
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER R CARTER ARNP
Provider Business Mailing Address
First Line : 1350 14TH AVE SE
Second Line :
City : DECATUR
State : AL
Zip : 35601-4364
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1350 14TH AVE SE
Second Line :
City : DECATUR
State : AL
Zip : 35601-4364
Country : US
Telephone Number : 256-355-6911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2011
Last Update Date : 09/05/2014

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