Mason Carter, NP-C Valid NPI

Individual provider · Family Nurse Practitioner · Eagle, ID

NPI

1376188698

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

53832 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2019-11-11

Last updated

2019-11-11