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General NPI Number Information
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NPI Number | 1073869210
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Entity Type | Individual
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Provider Name | CARLA M EVANS FNP
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Gender | Female
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1601 COMMONWEALTH AVE
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-5125
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Country | US
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Telephone | 757-259-9466
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Fax |
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Provider Business Mailing Address
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Address Line | 11844 ROCK LANDING DR STE B
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4202
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Country | US
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Telephone | 757-873-0161
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Fax | 757-873-0205
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CAPRN00047
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F0411035
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001107154
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN35540
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License Number State | RI
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN00047
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License Number State | RI
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN00047
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License Number State | RI
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