Provider Demographics
NPI:1740581685
Name:CARLOTA, AMY LINDSAY (CRNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LINDSAY
Last Name:CARLOTA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 W MARKET ST
Mailing Address - Street 2:STE 17
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-2454
Mailing Address - Country:US
Mailing Address - Phone:256-233-3100
Mailing Address - Fax:256-233-2277
Practice Address - Street 1:1005 W MARKET ST
Practice Address - Street 2:STE 17
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2454
Practice Address - Country:US
Practice Address - Phone:256-233-3100
Practice Address - Fax:256-233-2277
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-088327363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily