Individual
KARASA A WILSON-SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
5875 BREMO RD, STE 212, RICHMOND, VA 23226-1934
(804) 504-0530
(804) 504-0532
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001214
VA
237700000X
Hearing Instrument Specialist
2101001461
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578651717
—
VA
01
—
362423
ANTHEM
VA
01
—
MC11335
MEDICARE INDIVIDUAL PTAN
VA
Enumeration date
10/11/2006
Last updated
04/27/2016
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