Individual
MRS. CARRIE SHREVE ENTSMINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 E BROAD ST, RICHMOND, VA 23219-1930
(804) 628-5848
Mailing address
1101 E MARSHALL ST, 12TH FLOOR OFFICE 12-024, RICHMOND, VA 23298-5048
(804) 828-8958
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
0001235904
VA
363LP0200X
Pediatric Nurse Practitioner
00241473014
VA
Other
Enumeration date
12/04/2015
Last updated
04/13/2023
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