Individual
CECILE KORMANIK CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
44084 RIVERSIDE PARKWAY, SUITE 300, LEESBURG, VA 20176-5155
(703) 724-7530
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175104
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386166015
—
VA
05
—
30016411500001
—
VA
Enumeration date
07/14/2017
Last updated
03/12/2024
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