Provider Demographics
NPI:1972176261
Name:CARLTON FAMILY PRACTICE, LLC
Entity Type:Organization
Organization Name:CARLTON FAMILY PRACTICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLTON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:501-249-1844
Mailing Address - Street 1:203 LILLIAN
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-3851
Mailing Address - Country:US
Mailing Address - Phone:501-507-0710
Mailing Address - Fax:501-507-0721
Practice Address - Street 1:203 LILLIAN
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-3851
Practice Address - Country:US
Practice Address - Phone:501-501-0710
Practice Address - Fax:501-507-0721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty