Individual
CAROLINE DANESHVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 SUNSET LN, CULPEPER, VA 22701-3917
(703) 396-5292
(703) 396-5297
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 396-5292
(703) 396-5297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005118
VA
363AM0700X
Medical Physician Assistant
5601004886
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154440055
—
VA
Enumeration date
03/29/2007
Last updated
10/02/2020
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