Provider Demographics
NPI:1285032979
Name:CARTE, NICHOLAS STANLEY (PHD, MSN, A/GNP-C)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:STANLEY
Last Name:CARTE
Suffix:
Gender:M
Credentials:PHD, MSN, A/GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 WRIGHTSVILLE AVE UNIT G
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-4115
Mailing Address - Country:US
Mailing Address - Phone:910-367-5994
Mailing Address - Fax:844-523-8911
Practice Address - Street 1:3333 WRIGHTSVILLE AVE UNIT G
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4115
Practice Address - Country:US
Practice Address - Phone:910-367-5994
Practice Address - Fax:844-523-8911
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-11
Last Update Date:2019-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH059325-23363LA2200X
MARN245834363LG0600X
NC5007705363LP0808X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1285032979Medicaid