Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 534712 | TX |
NPI | 1043326556 |
---|---|
Provider Name | Sherrie L Carter |
First Address | Bryan, TX 77802-3127 |
Second Address | Bryan, TX 77802-3127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
534712 | TEX STATE BOARD/NURSING (01) | TX |