Basic Information
Provider Information
NPI: 1336138619
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARTER
FirstName: DEBBEE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 690 CANTON ST
Address2: STE 325
City: WESTWOOD
State: MA
PostalCode: 020902324
CountryCode: US
TelephoneNumber: 7814077713
FaxNumber: 7814070998
Practice Location
Address1: 75 LINDALL ST
Address2:  
City: DANVERS
State: MA
PostalCode: 019232121
CountryCode: US
TelephoneNumber: 9787744400
FaxNumber: 9787771462
Other Information
ProviderEnumerationDate: 10/19/2005
LastUpdateDate: 04/12/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X209193MAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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