Individual
MRS. CAROLYN A MONCURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9600 PATTERSON AVE, RICHMOND, VA 23229-6053
(804) 741-6200
(804) 741-6213
Mailing address
9600 PATTERSON AVE, RICHMOND, VA 23229-6053
(804) 741-6200
(804) 741-6213
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024112312
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06695
GROUP PTAN
VA
Enumeration date
02/27/2006
Last updated
12/14/2009
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