IndividualActive
Carsyn Wallow
NPI 1780470641 · Physician Assistant · Raceland, LA
Provider details
- NPI number
- 1780470641
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
111 Acadia Park Dr
Raceland, LA 70394-2619
Phone: (985) 537-7575
Approximate (ZIP-level) locationGet directions
Mailing address
1504 Minnesota Ave
Kenner, LA 70062-6156
Registry dates
- Enumerated
- 2025-04-17
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.