Tyra Carter


Address: 3247 Halcyon Ct, Ellicott City, MD 21043-3379

Tyra Carter (NPI# 1124012711, PAC ID# 5496712838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1124012711
PAC ID by PECOS 5496712838
Professional Enrollment ID I20050225000279
Full Name Tyra Carter
Address 3247 Halcyon Ct
Ellicott City
MD 21043-3379
Gender F
Credential NP
Graduation Year 2001
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210034 MEDSTAR HARBOR HOSPITAL

Other Locations

Address Phone Organization
3247 Halcyon Ct, Ellicott City, MD 21043-3379

Organization Information

Office Location

Street Address 3247 HALCYON CT
City ELLICOTT CITY
State MD
Zip 21043-3379

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Bridget A Blandina Optometry 3200 N Ridge Rd, Ellicott City, MD 21043-3363
Christian T Han Physical Therapy 8492 Baltimore National Pike, Suite 207, Ellicott City, MD 21043-3378
Doris Alene Morgan Clinical Psychologist Morgan Metro Maryland Counseling Ctr 3300 N Ridge Rd, Suite 110, Ellicott City, MD 21043-3384
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Angela M Kopack Infectious Disease Johns Hopkins Regional Physicians LLC 2850 N Ridge Rd, 102 Infectious Disease Associates, Ellicott City, MD 21043-3396
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Tamera E Jett-parmer Physician Assistant Integrative Health Practices LLC 2850 N Ridge Rd, Suite 107, Ellicott City, MD 21043-3396
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Competitor

Search similar physicians

City ELLICOTT CITY
Zip Code 21043
Specialty NURSE PRACTITIONER
City + Specialty ELLICOTT CITY + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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