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NPI Code Detail

MEDICARE: MS. PAULA CARLTON APNP

MEDICARE: MS. PAULA CARLTON APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner1533-033WI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00941429OTHERWIRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417966565
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAULA CARLTON APNP
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 800-326-2250
Fax Number :
Provider Business Practice Location Address
First Line : 205 VALLEY AVE
Second Line :
City : WEST BEND
State : WI
Zip : 53095-5312
Country : US
Telephone Number : 262-338-1123
Fax Number : 262-338-7681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 01/08/2026

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