1689084246 NPI number — KRISTINE CARTER RN, BSN, RNFA, CNOR

Table of content: KRISTINE CARTER RN, BSN, RNFA, CNOR (NPI 1689084246)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689084246 NPI number — KRISTINE CARTER RN, BSN, RNFA, CNOR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARTER
Provider First Name:
KRISTINE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN, BSN, RNFA, CNOR
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689084246
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/05/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 88
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOPATCONG
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07843-0088
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-745-0282
Provider Business Mailing Address Fax Number:
973-810-3071

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 ELMIRA TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOPATCONG
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07843-1110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-745-0282
Provider Business Practice Location Address Fax Number:
973-810-3071
Provider Enumeration Date:
05/05/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WR0006X , with the licence number:  26NR12121600 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com