Amelia Carter

Individual provider Active NPI Case Manager/Care Coordinator · Clovis, NM

NPI 1962753541 · NPPES record last updated Sep 24, 2012

Key facts

NPI
1962753541
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1100 W 21St St
Clovis, NM 88101-4151
Phone
(575) 769-2345
Fax
(575) 769-9013
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1100 W 21St St
Clovis, NM 88101-4151

Mailing address

1100 W 21St St
Clovis, NM 88101-4151
Phone (575) 769-2345

Other providers in Clovis, NM

All providers in Clovis, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.