Carter, Mary Anne

Carter, Mary Anne is an individual health care provider with primary practice located at 25 Degrandpre Way , Plattsburgh NY 12901-6449. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Carter, Mary Anne can be contacted via phone (518) 563-3260.

Contact Information

Primary practice address
25 Degrandpre Way Plattsburgh NY 12901-6449
Phone: (518) 563-3260
Fax: (518) 561-2877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F300505 New York

Profile Details

NPI number 1093711764
LBN Legal business name Carter, Mary Anne
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jan 18th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093711764 NPPES
New York MEDICAID 01461018

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