Provider Demographics
NPI:1295794295
Name:CARTER, GLANDNAIR CATHERINE (NP)
Entity type:Individual
Prefix:MRS
First Name:GLANDNAIR
Middle Name:CATHERINE
Last Name:CARTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:250 W PASTORIUS ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-3202
Mailing Address - Country:US
Mailing Address - Phone:215-843-5314
Mailing Address - Fax:215-843-5314
Practice Address - Street 1:FORT INDIANTOWN GAP BLDG 4-115
Practice Address - Street 2:
Practice Address - City:ANNVILLE
Practice Address - State:PA
Practice Address - Zip Code:17003-5002
Practice Address - Country:US
Practice Address - Phone:717-861-2769
Practice Address - Fax:717-861-2637
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP005661C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health