NPI 1154865350 · live from the CMS NPI Registry
Shanna S. Carter, FNP-C
Nurse Practitioner, Family in Phoenix, AZ. National Provider Identifier 1154865350, active.
NPI record
| NPI | 1154865350 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 345 E. Virginia Avenue, Phoenix, AZ 85004 |
| Practice phone | 602-258-5545 |
| Enumerated | December 7, 2016 |
| Last updated | August 7, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | AP10232 (AZ) |
| Registered Nurse, Hospice | 163WH1000X | RN116313 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.