Provider Demographics
NPI:1609206440
Name:CARPENTER, NANCY A (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:A
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 ARCH STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147
Mailing Address - Country:US
Mailing Address - Phone:412-441-6399
Mailing Address - Fax:
Practice Address - Street 1:222 ARCH STREET
Practice Address - Street 2:SUITE A
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147
Practice Address - Country:US
Practice Address - Phone:412-441-6399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-030068-E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine