MEDICARE: MS. CHRISTINA 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
1	253Z00000X	In Home Supportive Care Agency	PA700	WI

General Provider Information

NPI Number	:	1447126438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINA CARTER

Provider Business Mailing Address
First Line	:	6815 W CAPITOL DR STE 201
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2063
Country	:	US
Telephone Number	:	262-923-2223
Fax Number	:	262-923-2224

Provider Business Practice Location Address
First Line	:	6815 W CAPITOL DR STE 201
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2063
Country	:	US
Telephone Number	:	262-923-2223
Fax Number	:	262-923-2224

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

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	10/15/2025

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