Carol Ann Offutt, CRNP
Nurse Practitioner in Washington, DC. Individual provider (NPI-1).
NPI number1245308675
StatusActive
Last updated in NPPESJun 2, 2021
Details
- NPI
- 1245308675
- Entity type
- Individual (NPI-1)
- Name
- Ms. Carol Ann Offutt
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2006
- Certification date
- Jun 2, 2021
- Last updated
- Jun 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN62819 | DC | Yes |
| 363L00000X | Nurse Practitioner | 0024142059 | VA | |
| 363L00000X | Nurse Practitioner | 0001142059 | VA |
Practice location
Kaiser Permanente2100 W Pennsylvania Ave
Washington, DC 20037-4236
Phone 202-872-7000 · Fax 202-872-7286
Mailing address
Kaiser Permanente Mid Atlantic Permanente Medical Group2101 E Jefferson St Ppqa Medicare Compliance Unit 6 W
Rockville, MD 20852-4908
Phone 301-816-6660 · Fax 301-816-6308
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