Provider Demographics
NPI:1437656204
Name:LALOTA, CARLA (MSN FNP-C)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:LALOTA
Suffix:
Gender:F
Credentials:MSN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 CHOPTANK RD STE 103
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-6481
Mailing Address - Country:US
Mailing Address - Phone:703-232-1122
Mailing Address - Fax:
Practice Address - Street 1:282 CHOPTANK RD STE 103
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-6481
Practice Address - Country:US
Practice Address - Phone:703-232-1122
Practice Address - Fax:571-316-1387
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-09
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1437656204363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily