Individual
CARRIE WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 947-1801
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001174783
VA
363LA2100X
Acute Care Nurse Practitioner
0024166261
VA
Other
Enumeration date
05/03/2006
Last updated
09/11/2025
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