Provider Demographics
NPI:1437705274
Name:CARLTON, LYNWOOD E (MSN, PMHNP-BC, RN)
Entity Type:Individual
Prefix:
First Name:LYNWOOD
Middle Name:E
Last Name:CARLTON
Suffix:
Gender:M
Credentials:MSN, PMHNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 ORCHARD CT
Mailing Address - Street 2:
Mailing Address - City:CREEDMOOR
Mailing Address - State:NC
Mailing Address - Zip Code:27522-7835
Mailing Address - Country:US
Mailing Address - Phone:919-225-7645
Mailing Address - Fax:
Practice Address - Street 1:2110 ORCHARD CT
Practice Address - Street 2:
Practice Address - City:CREEDMOOR
Practice Address - State:NC
Practice Address - Zip Code:27522-7835
Practice Address - Country:US
Practice Address - Phone:919-225-7645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009965363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty