Provider Demographics
NPI:1851937379
Name:CARTER, DENISE B
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:B
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 S LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:AMITE
Mailing Address - State:LA
Mailing Address - Zip Code:70422-3332
Mailing Address - Country:US
Mailing Address - Phone:504-533-1943
Mailing Address - Fax:
Practice Address - Street 1:510 S LAUREL ST
Practice Address - Street 2:
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422-3332
Practice Address - Country:US
Practice Address - Phone:504-533-1943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker