Provider Demographics
NPI:1366995722
Name:DEFLORA, CARLA Y (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:Y
Last Name:DEFLORA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:CARLA
Other - Middle Name:Y
Other - Last Name:BESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4420 KINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3708
Mailing Address - Country:US
Mailing Address - Phone:281-360-4800
Mailing Address - Fax:
Practice Address - Street 1:4420 KINGWOOD DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3708
Practice Address - Country:US
Practice Address - Phone:281-360-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130888363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily