Provider Demographics
NPI:1689084246
Name:CARTER, KRISTINE (RN, BSN, RNFA, CNOR)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:RN, BSN, RNFA, CNOR
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 88
Mailing Address - Street 2:
Mailing Address - City:HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07843-0088
Mailing Address - Country:US
Mailing Address - Phone:352-745-0282
Mailing Address - Fax:973-810-3071
Practice Address - Street 1:301 ELMIRA TRL
Practice Address - Street 2:
Practice Address - City:HOPATCONG
Practice Address - State:NJ
Practice Address - Zip Code:07843-1110
Practice Address - Country:US
Practice Address - Phone:352-745-0282
Practice Address - Fax:973-810-3071
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR12121600163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant