Provider Demographics
NPI:1669265229
Name:CARTER, EMILY BETTIN
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:BETTIN
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 PALMETTO OAK DR APT 106
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-6411
Mailing Address - Country:US
Mailing Address - Phone:407-749-8900
Mailing Address - Fax:
Practice Address - Street 1:3009 PALMETTO OAK DR APT 106
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-6411
Practice Address - Country:US
Practice Address - Phone:407-749-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9514842163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse