Provider Demographics
NPI:1982106282
Name:MCCARTER, TRISHA ANN
Entity Type:Individual
Prefix:MS
First Name:TRISHA
Middle Name:ANN
Last Name:MCCARTER
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 1:4226 ACADEMY CV APT 201
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-3206
Mailing Address - Country:US
Mailing Address - Phone:252-412-2299
Mailing Address - Fax:
Practice Address - Street 1:4226 ACADEMY CV APT 201
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-3206
Practice Address - Country:US
Practice Address - Phone:252-412-2299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program