Individual
CAROLYN WILBURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
230 TWIN CREST DR, NORTH CHESTERFIELD, VA 23236-4085
(804) 814-7252
Mailing address
230 TWIN CREST DR, NORTH CHESTERFIELD, VA 23236-4085
(804) 814-7252
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001125211
VA
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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