Doctor Name: | PATRICIA LYNNE CARNES |
NPI Number: | 1003225293 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 0024171953 |
Business Practice Address: | 14464 Fallscliff Ln Centreville, VA - 201204130 |
Business Phone Number: | 7039997682 |
Business Fax Number: | |
Mailing Address: | 14464 Fallscliff Ln, CENTREVILLE |
State: | VA |
Postal Code: | 201204130 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/13/2014 |
NPI Last Update Date: | 11/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024171953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |