Doctor Name: | CARLA J TRANSUE |
NPI Number: | 1174653117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 9540 |
Business Practice Address: | 1675 Northcrest Dr Crescent City, CA - 955318928 |
Business Phone Number: | 7074642583 |
Business Fax Number: | |
Mailing Address: | 1600 Weeot Way, ARCATA |
State: | CA |
Postal Code: | 955214734 |
Phone Number: | 5308424555 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 9540 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |