Individual provider · Type 1 NPI
Tyra Sharron Carter, FAMILY NURSE PRACTIT
Family Nurse Practitioner · Ellicott City, MD
NPI number
1124012711
Active
Practice location
3247 Halcyon Ct
Ellicott City, MD 21043-3379
Fax (410) 318-6430
Mailing address
3247 Halcyon Ct. Suite A
Ellicott City, MD 21043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R135126 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1124012711
Tyra Sharron Carter, FAMILY NURSE PRACTIT's National Provider Identifier is 1124012711, issued on Sep 9, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ellicott City, MD. The record was last updated on Jul 21, 2022.