Provider Demographics
NPI:1750904199
Name:CARLTON, APRIL DAWN
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:DAWN
Last Name:CARLTON
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 1:203 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:501-507-0710
Practice Address - Fax:501-507-0721
Is Sole Proprietor?:No
Enumeration Date:2020-05-20
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR125099363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily