Individual
CARALYN WILKERSON IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19420 GOLF VISTA PLZ STE 240, LEESBURG, VA 20176-8267
(703) 444-6544
Mailing address
19420 GOLF VISTA PLZ STE 240, LEESBURG, VA 20176-8267
(703) 444-6544
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
2015024036
MO
363LF0000X
Family Nurse Practitioner
Primary
0024181358
VA
Other
Enumeration date
01/09/2018
Last updated
02/10/2022
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