CLARISSE MICHELLE CARTER NPI 1932247889

NPI Information

NPI: 1932247889
Provider Name: CLARISSE MICHELLE CARTER
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
26957 NORTHWESTERN HWY
STE. 400
SOUTHFIELD, MI
ZIP 48033
Phone: (248) 687-6764
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Clarisse Michelle Carter is a primary care nurse practitioner in Southfield, MI. Clarisse Michelle Carter NPI is 1932247889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

26957 NORTHWESTERN HWY
STE. 400
SOUTHFIELD, MI
ZIP 48033-700
Phone: (248) 687-6764
Fax: (888) 595-4735

The NPI 1932247889 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 4/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704238548	MICHIGAN	No
2	363LP2300X	Nurse Practitioner	Primary Care	4704238548	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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