MASON CARTER NP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1376188698- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP-C
- Status
- Active
Contact & Location
- Address
- 21 N FISHER PARK WAY, EAGLE, ID, 836164796
- Phone
- (208) 514-0670
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: ID #53832
All Addresses
MAILING
1300 N PENN STATION LN APT 201
MERIDIAN, ID, 836429428