Provider Demographics
NPI:1801787700
Name:CARLETON, CATHRYN (BSN, RN, AG-ACNP)
Entity type:Individual
Prefix:MS
First Name:CATHRYN
Middle Name:
Last Name:CARLETON
Suffix:
Gender:F
Credentials:BSN, RN, AG-ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16262 RASCAL LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-2512
Mailing Address - Country:US
Mailing Address - Phone:949-294-6007
Mailing Address - Fax:
Practice Address - Street 1:22910 CRENSHAW BLVD STE A
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3060
Practice Address - Country:US
Practice Address - Phone:310-294-9444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95036012363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care