Provider Demographics
NPI:1104037951
Name:GETERS, CARLA ANNESE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:ANNESE
Last Name:GETERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2225
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77592-2225
Mailing Address - Country:US
Mailing Address - Phone:409-359-7066
Mailing Address - Fax:
Practice Address - Street 1:8901 EMMETT F LOWRY EXPY STE B
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2279
Practice Address - Country:US
Practice Address - Phone:409-359-7066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX521859163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180398301Medicaid