Provider Demographics
NPI:1407293186
Name:CARTER, ASHLEY DANIELLE (RT (R) (ARRT))
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:DANIELLE
Last Name:CARTER
Suffix:
Gender:F
Credentials:RT (R) (ARRT)
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:DANIELLE
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RT (R) (ARRT)
Mailing Address - Street 1:11412 BLUFF CREEK DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-3725
Mailing Address - Country:US
Mailing Address - Phone:405-694-1466
Mailing Address - Fax:
Practice Address - Street 1:11412 BLUFF CREEK DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-3725
Practice Address - Country:US
Practice Address - Phone:405-694-1466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist