Doctor Name: | CARLA FLEMING |
NPI Number: | 1588811103 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 0024167975 |
Business Practice Address: | 5607 Dickenson Hwy Clintwood, VA - 242287009 |
Business Phone Number: | 2769264601 |
Business Fax Number: | 2769264602 |
Mailing Address: | Po Box 2224, CLINTWOOD |
State: | VA |
Postal Code: | 242282224 |
Phone Number: | 2769264601 |
Fax Number: | 2769264602 |
NPI Enumeration Date: | 08/26/2008 |
NPI Last Update Date: | 01/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024167975 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |