Provider Demographics
NPI:1487928487
Name:CARTER, LINDA ANN (RN)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:ANN
Last Name:CARTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14911 MELBOURNE AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1306
Mailing Address - Country:US
Mailing Address - Phone:718-575-5580
Mailing Address - Fax:718-575-1366
Practice Address - Street 1:14911 MELBOURNE AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1306
Practice Address - Country:US
Practice Address - Phone:718-575-5580
Practice Address - Fax:718-575-1366
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY403615-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool