Individual
KRISTEN ANNE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 GRESHAM DR STE 8600, NORFOLK, VA 23507-1904
(757) 388-6005
(757) 388-6006
Mailing address
600 GRESHAM DR STE 8600, NORFOLK, VA 23507-1904
(757) 388-6005
(757) 388-6006
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001276051
VA
163WC0200X
Critical Care Medicine Registered Nurse
RN.417855
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
0024182824
VA
363LG0600X
Gerontology Nurse Practitioner
0024182824
VA
Other
Enumeration date
11/11/2019
Last updated
07/09/2024
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