Provider Demographics
NPI:1962441402
Name:CARTER, TAMRA ELIZABETH (RNC, MS, NNP)
Entity Type:Individual
Prefix:MRS
First Name:TAMRA
Middle Name:ELIZABETH
Last Name:CARTER
Suffix:
Gender:F
Credentials:RNC, MS, NNP
Other - Prefix:
Other - First Name:TAMRA
Other - Middle Name:ELIZABETH
Other - Last Name:WILLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2468 MCKAY LANDING PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-6518
Mailing Address - Country:US
Mailing Address - Phone:303-469-6096
Mailing Address - Fax:
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:SUITE 5300
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:303-839-7440
Practice Address - Fax:303-839-7210
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO118923363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care