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NPI Code Detail

MEDICARE: SUSANA AYAD CARTER NP

MEDICARE: SUSANA AYAD CARTER NP
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 Practitioner3018111KY

General Provider Information

NPI Number : 1184365116
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANA AYAD CARTER NP
Provider Business Mailing Address
First Line : 4055 VALLEY VIEW LN STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75244-5045
Country : US
Telephone Number : 855-984-5121
Fax Number : 606-430-1980
Provider Business Practice Location Address
First Line : 4055 VALLEY VIEW LN STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75244-5045
Country : US
Telephone Number : 855-984-5121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2022
Last Update Date : 02/10/2026

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