Provider Demographics
NPI:1750980363
Name:MOSBY, CARLA LARUE (APRN, FNP)
Entity type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:LARUE
Last Name:MOSBY
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
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Mailing Address - Street 1:10150 BOWLING GREEN DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6984
Mailing Address - Country:US
Mailing Address - Phone:214-551-5154
Mailing Address - Fax:877-789-2967
Practice Address - Street 1:505 S NOLEN DR STE A
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-9167
Practice Address - Country:US
Practice Address - Phone:469-851-1250
Practice Address - Fax:817-424-3491
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1011154363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily