Provider Demographics
NPI:1811451800
Name:CARPENTER, NORA ANN
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:ANN
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6617 CEDAR ELM DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5910
Mailing Address - Country:US
Mailing Address - Phone:325-642-8334
Mailing Address - Fax:
Practice Address - Street 1:8001 S. HWY 75
Practice Address - Street 2:8001 S. HWY 75
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090
Practice Address - Country:US
Practice Address - Phone:903-532-1400
Practice Address - Fax:903-532-1401
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX160531164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse