Provider Demographics
NPI:1134795511
Name:CARTER, SARA RHIANNA (RN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:RHIANNA
Last Name:CARTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9821 CHAPEL RD APT 2523
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-8798
Mailing Address - Country:US
Mailing Address - Phone:254-723-0769
Mailing Address - Fax:
Practice Address - Street 1:9821 CHAPEL RD APT 2523
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-8798
Practice Address - Country:US
Practice Address - Phone:254-723-0769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX937243163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical