Provider Demographics
NPI:1891204137
Name:CARR, ALLETTE (LVN)
Entity Type:Individual
Prefix:MRS
First Name:ALLETTE
Middle Name:
Last Name:CARR
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3833 CONDOR STOOP DR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4294
Mailing Address - Country:US
Mailing Address - Phone:214-995-3970
Mailing Address - Fax:
Practice Address - Street 1:3833 CONDOR STOOP DR
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4294
Practice Address - Country:US
Practice Address - Phone:214-995-3970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare