Provider Demographics
NPI:1184050569
Name:CARLTON, DENISE MARIE (MSN, WHNP-BC)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:CARLTON
Suffix:
Gender:F
Credentials:MSN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 LA VENTA DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-3703
Mailing Address - Country:US
Mailing Address - Phone:805-497-9119
Mailing Address - Fax:805-497-4199
Practice Address - Street 1:1220 LA VENTA DR
Practice Address - Street 2:SUITE 209
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-3703
Practice Address - Country:US
Practice Address - Phone:805-497-9119
Practice Address - Fax:805-497-4199
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20392363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology