Individual provider · Type 1 NPI

Caitlin Rae Carpenter, PA-C, MPAS

Surgical Physician Assistant · La Crosse, WI

NPI number 1366002479 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Call (608) 782-7300 Map

Other practice locations

  • 800 West Ave S, La Crosse, WI 54601-8806 · (608) 785-0940

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X4689-23 (WI)
Physician Assistant 363A00000X4689-23 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1366002479

Caitlin Rae Carpenter, PA-C, MPAS's National Provider Identifier is 1366002479, issued on Jun 20, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in La Crosse, WI. The record was last updated on Feb 13, 2026.