Provider Demographics
NPI: | 1326209016 |
---|---|
Name: | CARTER, ERIN KD (FNP-C) |
Entity type: | Individual |
Prefix: | |
First Name: | ERIN |
Middle Name: | KD |
Last Name: | CARTER |
Suffix: | |
Gender: | F |
Credentials: | FNP-C |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 2 UPPER RAGSDALE DR STE B210 |
Mailing Address - Street 2: | |
Mailing Address - City: | MONTEREY |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 93940-7851 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 831-333-0999 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2 UPPER RAGSDALE DR |
Practice Address - Street 2: | |
Practice Address - City: | MONTEREY |
Practice Address - State: | CA |
Practice Address - Zip Code: | 93940-5736 |
Practice Address - Country: | US |
Practice Address - Phone: | 831-333-0999 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2008-06-24 |
Last Update Date: | 2024-12-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MT | 26672 | 163W00000X |
MT | 179194 | 363LF0000X |
CA | 9502596 | 363LP2300X |
NY | F348474-01 | 363LF0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No | 163W00000X | Nursing Service Providers | Registered Nurse | |
Yes | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care |