Provider Demographics
NPI:1518268481
Name:CARTER, PATRICIA LYNN (DNP, ACNS-BC, CNN)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LYNN
Last Name:CARTER
Suffix:
Gender:F
Credentials:DNP, ACNS-BC, CNN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3355 GLENDALE AVE
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2426
Mailing Address - Country:US
Mailing Address - Phone:419-383-3742
Mailing Address - Fax:419-383-6809
Practice Address - Street 1:3355 GLENDALE AVE
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2426
Practice Address - Country:US
Practice Address - Phone:419-383-3742
Practice Address - Fax:419-383-6809
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHCOA05142-NS364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health