Individual
CAROLYN ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 295-9369
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(703) 295-9360
(703) 295-9369
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024115461
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010197805
—
VA
05
—
PENDING
—
VA
Enumeration date
07/03/2006
Last updated
09/24/2019
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