Provider Demographics
NPI:1922824200
Name:CARTER, IRIS VEDA
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:VEDA
Last Name:CARTER
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 1:44 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-2709
Mailing Address - Country:US
Mailing Address - Phone:802-279-5538
Mailing Address - Fax:
Practice Address - Street 1:44 NEWTON ST
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-2709
Practice Address - Country:US
Practice Address - Phone:802-279-5538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist