Provider Demographics
NPI:1538744362
Name:DOBBIE, CARLITA (NP)
Entity type:Individual
Prefix:
First Name:CARLITA
Middle Name:
Last Name:DOBBIE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CARLITA
Other - Middle Name:LEIGH
Other - Last Name:DOMINGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1 FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:EPPING
Mailing Address - State:NH
Mailing Address - Zip Code:03042-1800
Mailing Address - Country:US
Mailing Address - Phone:207-337-8786
Mailing Address - Fax:
Practice Address - Street 1:784 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2549
Practice Address - Country:US
Practice Address - Phone:603-742-5556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11019350363L00000X
MARN2309117363L00000X
NH112310-23363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner