Individual
CARLA RAE ROTHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
PO BOX 916, DELTAVILLE, VA 23043-0916
(804) 776-8000
(804) 776-6211
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5900
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175046
VA
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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