Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLIN RENAE CARLISLE
ActiveKAITLIN RENAE CARLISLE is a Physician Assistant healthcare provider located in FAIRFAX STATION, Virginia. NPI 1588336697 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FAIRFAX STATION, VA
Registration Details
- NPI Number
- 1588336697
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2021 (4.6937926659325 yrs)
- Last Updated
- Dec 11, 2024
- License
-
4269 (SC)
Practice Information
- Address
-
8416 WESTPOINTE DRFAIRFAX STATION, VA, 220392670Browse VA providers · Browse ZIP 22039
- Phone
- 7037178669
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FAIRFAX STATION, VA
| Name | Credential | NPI |
|---|---|---|
| MAHTAB MOLLAJAFAR | — | 1659836799 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.