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NPI Code Detail

MEDICARE: DEBRA CARTER

MEDICARE:   DEBRA  CARTER
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1255609491
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA CARTER
Provider Business Mailing Address
First Line : 6216 SHADOW OAK DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-1638
Country : US
Telephone Number : 725-273-1065
Fax Number :
Provider Business Practice Location Address
First Line : 6216 SHADOW OAK DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-1638
Country : US
Telephone Number : 725-273-1065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2011
Last Update Date : 09/18/2024

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Directions to “ DEBRA CARTER ” Practice Location

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