Individual
MS. CARRIE L PASCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8151 FONDALE RD, MECHANICSVILLE, VA 23111-3711
(804) 517-5646
Mailing address
8151 FONDALE RD, MECHANICSVILLE, VA 23111-3711
(804) 517-5646
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP1752522
FL
363LF0000X
Family Nurse Practitioner
Primary
0024169700
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
04/05/2006
Last updated
01/22/2020
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