Individual
MRS. CAITLIN RAE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4689-23
WI
363AS0400X
Surgical Physician Assistant
Primary
4689-23
WI
Other
Enumeration date
06/20/2019
Last updated
02/13/2026
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