Provider Demographics
NPI:1760692024
Name:CARTER, CINDY WOODALL (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:WOODALL
Last Name:CARTER
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4104 VANCE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-8652
Mailing Address - Country:US
Mailing Address - Phone:817-281-2398
Mailing Address - Fax:
Practice Address - Street 1:4104 VANCE RD
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8652
Practice Address - Country:US
Practice Address - Phone:817-281-2398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX702248163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant