| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARY YETULA CARTER | 1003499658 | 2021-05-02 |
Mary Yetula Carter is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1003499658. Registration indicates Mary Yetula Carter is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: Pediatrics, ) (Registered Nurse Pediatrics, Nursing Service Providers) (Registered Nurse, )
| Entity Type | Individual |
| Provider Name | Mary Yetula Carter |
| Practice Office Address | 19907 GATLING CT KATY, TX US |
| Practice Office Telephone | 4144166652 |
| Mailing Address | 19907 GATLING CT KATY, TX 774493315 US |
| Business Telephone | 4144166652 |
| Code | Practice | License No State |
|---|---|---|
| 163WP0200X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse: Pediatrics Registered Nurse Pediatrics Nursing Service Providers Registered Nurse | 893944
TX |
| 193400000X SING | Group Code |