Individual
NICOLE CARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3900 WESTERRE PKWY STE 300, RICHMOND, VA 23233-1339
(443) 383-9300
(855) 866-8710
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS GLENCOE, MD 21152-9477
(443) 383-9300
(855) 866-8710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
125836
AK
363LF0000X
Family Nurse Practitioner
Primary
0024182967
VA
363LF0000X
Family Nurse Practitioner
NP500009620
DC
363LF0000X
Family Nurse Practitioner
R251277
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1616451
—
AK
Enumeration date
09/20/2017
Last updated
05/31/2023
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