Doctor Name: | CAROL GALE |
NPI Number: | 1629223284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, FNP |
License Number: | 0024167780 |
Business Practice Address: | 2035 Waterside Rd Suite 105 Prince George, VA - 238751265 |
Business Phone Number: | 8045200002 |
Business Fax Number: | 8045202259 |
Mailing Address: | 2035 Waterside Rd, Suite 105 PRINCE GEORGE |
State: | VA |
Postal Code: | 238751265 |
Phone Number: | 8045200002 |
Fax Number: | 8045202259 |
NPI Enumeration Date: | 11/24/2008 |
NPI Last Update Date: | 07/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024167780 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |