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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISTY L ELLERBE CARLSON, P.A.

Active Sole Proprietor

MISTY L ELLERBE CARLSON, P.A. is a Medical Physician Assistant healthcare provider located in OAK GROVE, Louisiana. NPI 1790936953 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · OAK GROVE, LA

Registration Details

NPI Number
1790936953
Provider Type
Individual
Gender
Female
NPI Issued
Oct 7, 2008 (17.890508369013 yrs)
Last Updated
May 5, 2022
License
PA200207 (LA)
Sole Proprietor
Yes

Practice Information

Address
706 ROSS STREET
OAK GROVE, LA, 71263
Browse LA providers · Browse ZIP 71263
Phone
3184283237
Fax
3184286180
Primary Specialty
Medical Physician Assistant
363AM0700X
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.