Provider Demographics
NPI:1053558015
Name:CARTER, DENISE J (NP)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:J
Last Name:CARTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:1105 HEWETT ST
Mailing Address - Street 2:
Mailing Address - City:NEILLSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54456-1343
Mailing Address - Country:US
Mailing Address - Phone:715-743-3051
Mailing Address - Fax:
Practice Address - Street 1:2001 S CENTRAL AVE STE A
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-4973
Practice Address - Country:US
Practice Address - Phone:715-384-2818
Practice Address - Fax:715-384-2724
Is Sole Proprietor?:No
Enumeration Date:2009-01-13
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI3629-33363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health