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NPI Code Detail

MEDICARE: MRS. ANGELA M CARTER FNP-C

MEDICARE: MRS. ANGELA M CARTER FNP-C
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
1363L00000XNurse Practitioner12159CA

General Provider Information

NPI Number : 1841233863
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA M CARTER FNP-C
Provider Business Mailing Address
First Line : 32917 VALENCE CT
Second Line :
City : TEMECULA
State : CA
Zip : 92592-4377
Country : US
Telephone Number : 951-551-4068
Fax Number :
Provider Business Practice Location Address
First Line : BUILDING M4861 LOGISTICS AVENUE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 910-907-9124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 03/26/2026

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