Individual provider · Type 1 NPI
Carla Emmanuelle Prophete, PA-C
Medical Physician Assistant · Hartford, CT
NPI number
1235764598
Active
Practice location
80 Seymour St
Hartford, CT 06102-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 4768 (CT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1235764598
Carla Emmanuelle Prophete, PA-C's National Provider Identifier is 1235764598, issued on Mar 6, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Mar 31, 2020.