Provider Demographics
NPI:1861257982
Name:ALFARO, KARSTIN MARIA (PA-C)
Entity type:Individual
Prefix:
First Name:KARSTIN
Middle Name:MARIA
Last Name:ALFARO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1288 SEDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-7624
Mailing Address - Country:US
Mailing Address - Phone:704-308-7091
Mailing Address - Fax:
Practice Address - Street 1:1288 SEDGEWOOD LN
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-7624
Practice Address - Country:US
Practice Address - Phone:704-308-7091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant