MEDICARE: KATHERINE REED CARTER FNP

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
1	363LF0000X	Family Nurse Practitioner	RN074817	LA
2	363LF0000X	Family Nurse Practitioner	LA AP06130	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255652590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE REED CARTER FNP

Provider Business Mailing Address
First Line	:	510 S COTTONWOOD ST
Second Line	:
City	:	BUNKIE
State	:	LA
Zip	:	71322-1135
Country	:	US
Telephone Number	:	318-346-3339
Fax Number	:	318-346-3337

Provider Business Practice Location Address
First Line	:	510 S COTTONWOOD ST
Second Line	:
City	:	BUNKIE
State	:	LA
Zip	:	71322-1135
Country	:	US
Telephone Number	:	318-346-3339
Fax Number	:	318-346-3337

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2010
Last Update Date	:	02/01/2022

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