Provider Demographics
NPI:1801900014
Name:CARTER, AMY E (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22635 NE MARKETPLACE DR
Mailing Address - Street 2:SUITE #120
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-5885
Mailing Address - Country:US
Mailing Address - Phone:425-898-7408
Mailing Address - Fax:425-898-7409
Practice Address - Street 1:22635 NE MARKETPLACE DR
Practice Address - Street 2:SUITE #120
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-5885
Practice Address - Country:US
Practice Address - Phone:425-898-7408
Practice Address - Fax:425-898-7409
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00048372208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics