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1487096731 NPI number — CAROL ELIZABETH DREVER NP

NPI Number: 1487096731
Health Care Provider/Practitioner: CAROL ELIZABETH DREVER NP

Information about “1487096731” NPI (CAROL ELIZABETH DREVER NP) exists in 1487096731 in HTML format HTML  |  1487096731 in plain Text format TXT  |  1487096731 in PDF (Portable Document Format) PDF  |  1487096731 in an XML format XML  formats.

NPI Number : 1487096731 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487096731",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DREVER",
    "FirstName": "CAROL",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "110 BRUNSWICK LN STE B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARION",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24354-3339",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "276-200-2539",
    "MailingAddressFaxNumber": "804-816-4556",
    "FirstLinePracticeLocationAddress": "110 BRUNSWICK LN STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARION",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24354-3339",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "276-200-2539",
    "PracticeLocationAddressFaxNumber": "804-816-4556",
    "EnumerationDate": "07/26/2013",
    "LastUpdateDate": "09/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "0024171015",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "0024171015",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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