| Doctor Name: | MRS. CARRIE SHREVE ENTSMINGER |
| NPI Number: | 1013382837 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 00241473014 |
| Business Practice Address: | 11810 Murray Hill Dr Midlothian, VA - 231132342 |
| Business Phone Number: | 8043017277 |
| Business Fax Number: | |
| Mailing Address: | 1101 E Marshall St, 12th Floor Office 12-024 RICHMOND |
| State: | VA |
| Postal Code: | 232985048 |
| Phone Number: | 8048288958 |
| Fax Number: | |
| NPI Enumeration Date: | 12/04/2015 |
| NPI Last Update Date: | 02/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 00241473014 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |