Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A93600 | CA |
N | 111NI0900X | Internist | A93600 | CA |
Y | 207RN0300X | Nephrologist | A93600 | CA |
N | 208000000X | Pediatrician | A93600 | CA |
N | 2080P0210X | Pediatric Nephrologist | A93600 | CA |
NPI | 1255514618 |
---|---|
Provider Name | Dr. Caitlin Elizabeth Wise Carter |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-9000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2007 |
Last Update Date | 30/01/2020 |