Provider Demographics
NPI:1629654751
Name:ALBERTINI, CARLA
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:ALBERTINI
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 1:181 BELLO VEDERE AVE
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-9391
Mailing Address - Country:US
Mailing Address - Phone:304-281-6704
Mailing Address - Fax:
Practice Address - Street 1:181 BELLO VEDERE AVE
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-9391
Practice Address - Country:US
Practice Address - Phone:304-281-6704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker