Doctor Name: | MS. CAROLE RENEE EVERHART |
NPI Number: | 1528265139 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 0024164732 |
Business Practice Address: | 160 Training Center Rd Hillsville, VA - 243435149 |
Business Phone Number: | 2767823121 |
Business Fax Number: | 2767281103 |
Mailing Address: | 1697 Parkview Dr, CANA |
State: | VA |
Postal Code: | 243174444 |
Phone Number: | 2767559133 |
Fax Number: | 2767281103 |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024164732 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |