Healthcare Provider Details

I. General information

NPI: 1336708353
Provider Name (Legal Business Name): ELIZABETH HALL CARVER DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 06/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BOX DUMC 3148
DURHAM NC
27710-0001
US

IV. Provider business mailing address

BOX DUMC 3148
DURHAM NC
27710-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-681-1530
  • Fax: 919-681-0538
Mailing address:
  • Phone: 919-681-1530
  • Fax: 919-681-0538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number5011792
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: