Individual
CAROLYN WHITWORTH EVERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014
(540) 352-2000
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 400-3024
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024116420
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010162513
—
VA
05
—
010387469
—
VA
05
—
010387477
—
VA
05
—
010387507
—
VA
05
—
010389119
—
VA
05
—
010389135
—
VA
Enumeration date
06/10/2006
Last updated
09/10/2019
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