Individual
MRS. CAROL BAKER O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CS, NP-C
Contact information
Practice address
209 W CRISER RD, FRONT ROYAL, VA 22630-2360
(540) 636-2961
(540) 636-2933
Mailing address
112 W NORTH AVE, WINCHESTER, VA 22601-3933
(540) 667-8187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024066284
VA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
0015000631
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945212
—
VA
Enumeration date
05/31/2005
Last updated
01/22/2008
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