Healthcare Provider Details

I. General information

NPI: 1477544708
Provider Name (Legal Business Name): CAROLYN D L'HEUREUX BSN,MSN,FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 S MAGNOLIA AVE
WAYNESBORO VA
22980-3629
US

IV. Provider business mailing address

1625 POES LN
CHARLOTTESVILLE VA
22911-7537
US

V. Phone/Fax

Practice location:
  • Phone: 540-949-8241
  • Fax: 540-949-5582
Mailing address:
  • Phone: 434-974-9693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001108767
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024108767
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: