Individual
MARY ANN CARRAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
8840 OTTERBURN RD, AMELIA COURT HOUSE, VA 23002-4853
(804) 317-4599
Mailing address
PO BOX 419, AMELIA COURT HOUSE, VA 23002-0419
(804) 317-4599
(804) 561-1454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001126607
VA
Other
Enumeration date
04/29/2018
Last updated
04/29/2018
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