Individual
MRS. RACHEL CARLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3000
Mailing address
1051 COBBLESTONE LN, FOREST, VA 24551-1899
(260) 750-0474
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704327825
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024179038
LICENSED NURSE PRACTITIONER
VA
01
—
4704327825
NURSING SPECIALTY LICENCE
MI
Enumeration date
05/31/2019
Last updated
08/11/2020
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