MEDICARE: RHONDA CARTER RNP

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	363LP2300X	Primary Care Nurse Practitioner	12149	CA

General Provider Information

NPI Number	:	1841465382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA CARTER RNP

Provider Business Mailing Address
First Line	:	6801 COLDWATER CANYON AVE STE 1B
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-5164
Country	:	US
Telephone Number	:	818-763-1718
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 COLDWATER CANYON AVE STE 1B
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-5164
Country	:	US
Telephone Number	:	818-763-1718
Fax Number	:

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

Provider Enumeration Date	:	04/25/2008
Last Update Date	:	04/25/2008

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