Dr BRYAN RICARDO CARLETON is a male medical professional, specializing in Nurse Practitioner. He graduated in 2014.
SOUTHERN CITIES CLINIC
400 4TH ST NW
FARIBAULT
MN
550215031
Tel: 5073846830
| Npi | 1902201700 |
| Pac Id | 3173847530 |
| Professional Enrollment Id | I20161212000003 |
| Last Name | CARLETON |
| First Name | BRYAN |
| Middle Name | RICARDO |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOUTHERN CITIES CLINIC |
| Group Practice Pac Id | 7517912991 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 400 4TH ST NW |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FARIBAULT |
| State | MN |
| Zip Code | 550215031 |
| Phone Number | 5073846830 |
| Hospital Affiliation Ccn 1 | 240057 |
| Hospital Affiliation Lbn 1 | ABBOTT NORTHWESTERN HOSPITAL |
| Hospital Affiliation Ccn 2 | 240043 |
| Hospital Affiliation Lbn 2 | MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN |
| Hospital Affiliation Ccn 3 | 240071 |
| Hospital Affiliation Lbn 3 | DISTRICT ONE HOSPITAL |
| Hospital Affiliation Ccn 4 | 241345 |
| Hospital Affiliation Lbn 4 | MAYO CLINIC HEALTH SYSTEM - WASECA |
| Hospital Affiliation Ccn 5 | 240044 |
| Hospital Affiliation Lbn 5 | WINONA HEALTH SERVICES |
| Professional Accepts Medicare Assignment | Y |
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