Individual
CHRISTINA M CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3916 N INTERTECH CT, APPLETON, WI 54913
(920) 996-1000
Mailing address
3916 N INTERTECH CT, APPLETON, WI 54913-6957
(920) 996-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1536
WI
363AM0700X
Medical Physician Assistant
1536
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41974500
—
WI
Enumeration date
11/16/2006
Last updated
01/31/2024
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