Basic Information
| Provider Information | |||||||||
| NPI: | 1700160306 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUGHES CARTER | ||||||||
| FirstName: | DELLA | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | R.N., G.N.P. - B.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11745 DURHAM WAY | ||||||||
| Address2: | |||||||||
| City: | DEWITT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488208213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5176691528 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5135 S PENNSYLVANIA AVE | ||||||||
| Address2: | |||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489114002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5178875922 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/01/2011 | ||||||||
| LastUpdateDate: | 01/29/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LG0600X | 4704149209 | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.