Carrie A Waltman Fnp PLLC
Nurse Practitioner, Family in Chesterfield, VA. Organization (NPI-2).
NPI number1841834090
StatusActive
Last updated in NPPESSep 30, 2022
Details
- NPI
- 1841834090
- Entity type
- Organization (NPI-2)
- Legal business name
- Carrie A Waltman Fnp PLLC
- Organization subpart
- No
- Enumeration date
- Oct 31, 2019
- Certification date
- Sep 30, 2022
- Last updated
- Sep 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
11713 Burray RdChesterfield, VA 23838-5155
Phone 804-402-8633 · Fax 804-777-9668
Mailing address
11713 Burray RdChesterfield, VA 23838-5155
Phone 804-402-8633 · Fax 804-777-9668
Authorized official
Carrie A Waltman
Authorized Official / Owner
8044028633
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