Healthcare Provider Details

I. General information

NPI: 1992160717
Provider Name (Legal Business Name): CARRIELYN A. RHEA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2015
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 INDUSTRIAL DR
LOUISA VA
23093-4146
US

IV. Provider business mailing address

PO BOX 9007
CHARLOTTESVILLE VA
22906-9007
US

V. Phone/Fax

Practice location:
  • Phone: 540-967-2011
  • Fax: 540-967-2982
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024171984
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: