Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 105735 | WV |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 105735 | WV |
NPI | 1083235410 |
---|---|
Provider Name | Rachael Carter |
First Address | Morgantown, WV 26506-1200 |
Second Address | Morgantown, WV 26506-1200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2020 |
Last Update Date | 23/07/2021 |