Carlson, Martha Aleisa

Carlson, Martha Aleisa is an individual health care provider with primary practice located at 580 New Waverly Pl Suite 120, Cary NC 27518-7406. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Carlson, Martha Aleisa can be contacted via phone (919) 858-8360.

Contact Information

Primary practice address
580 New Waverly Pl Suite 120 Cary NC 27518-7406
Phone: (919) 858-8360
Fax: (919) 858-8408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 99045 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 5007916 North Carolina

Profile Details

NPI number 1962472035
LBN Legal business name Carlson, Martha Aleisa
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated May 19th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962472035 NPPES
Colorado Other CA658010 BLUE CROSS BLUE SHIELD
Colorado MEDICAID 30487749 BLUE CROSS BLUE SHIELD

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