Doctor Name: | MRS. SHANA L CARTER |
NPI Number: | 1124190590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS APRN |
License Number: | 110580 |
Business Practice Address: | 1803 Papio Ln Box 86 Cozad, NE - 691301138 |
Business Phone Number: | 3087843535 |
Business Fax Number: | 3087844694 |
Mailing Address: | 1803 Papio Ln, Box 86 COZAD |
State: | NE |
Postal Code: | 691301138 |
Phone Number: | 3087843535 |
Fax Number: | 3087844694 |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 09/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 110580 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |