Petersen, Carlotta

Petersen, Carlotta is an individual health care provider with primary practice located at 500 W Main St Ste 200 , Lewisville TX 75057-3639. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Petersen, Carlotta can be contacted via phone (877) 314-8990.

Contact Information

Primary practice address
500 W Main St Ste 200 Lewisville TX 75057-3639
Phone: (877) 314-8990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00598 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00598 Texas

Profile Details

NPI number 1417288911
LBN Legal business name Petersen, Carlotta
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2010
Last updated Jan 6th, 2022 - about 3 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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