Provider Demographics
NPI:1386498806
Name:ALBERTIE, CARLETA V (FNP-BC)
Entity type:Individual
Prefix:
First Name:CARLETA
Middle Name:V
Last Name:ALBERTIE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CARLETA
Other - Middle Name:VERA
Other - Last Name:SINGLETARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:249 DANIEL TRENT WAY
Mailing Address - Street 2:
Mailing Address - City:KINGSLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31548-6092
Mailing Address - Country:US
Mailing Address - Phone:912-227-7305
Mailing Address - Fax:
Practice Address - Street 1:249 DANIEL TRENT WAY
Practice Address - Street 2:
Practice Address - City:KINGSLAND
Practice Address - State:GA
Practice Address - Zip Code:31548-6092
Practice Address - Country:US
Practice Address - Phone:912-227-7305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN268997363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily