Damita Carter, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Lancaster, TX

NPI 1942071121 · NPPES record last updated Apr 23, 2024

Key facts

NPI
1942071121
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1135404 (TX)
Practice address
3250 W Pleasant Run Rd Ste 130
Lancaster, TX 75146-1069
Phone
(469) 297-5222
NPI assigned
Jan 16, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1135404TXMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X 1135404 TX Yes

Addresses

Primary practice location

3250 W Pleasant Run Rd Ste 130
Lancaster, TX 75146-1069

Mailing address

3250 W Pleasant Run Rd Ste 130
Lancaster, TX 75146-1069
Phone (469) 297-5222

Other providers in Lancaster, TX

All providers in Lancaster, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.