Chayamorn L Carter, CRNA
Nurse Anesthetist, Certified Registered in Woodbridge, VA. Individual provider (NPI-1).
NPI number1396246732
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1396246732
- Entity type
- Individual (NPI-1)
- Name
- Ms. Chayamorn L Carter
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 21, 2018
- Certification date
- Sep 6, 2023
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 24175999 | VA | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | CR000969 | SD |
Practice location
2300 Opitz BlvdWoodbridge, VA 22191
Phone 703-523-1000
Mailing address
8178 Hillcrest DrManassas, VA 20111-2822
Other practice locations
305 S State St
Aberdeen, SD 57401-4527
Aberdeen, SD 57401-4527
Phone 605-622-5000
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