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General NPI Number Information
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NPI Number | 1841834090
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Entity Type | Organization
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Legal Business Name | CARRIE A WALTMAN FNP PLLC
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Dates
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Enumeration Date | 10/31/2019
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 11713 BURRAY RD
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City | CHESTERFIELD
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State | VA
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Zip | 23838-5155
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Country | US
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Telephone | 804-402-8633
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Fax | 804-777-9668
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Provider Business Mailing Address
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Address Line | 11713 BURRAY RD
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City | CHESTERFIELD
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State | VA
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Zip | 23838-5155
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Country | US
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Telephone | 804-402-8633
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Fax | 804-777-9668
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL / OWNER
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Name | CARRIE A WALTMAN
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Credential | NP
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Telephone | 804-402-8633
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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 |
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License Number State |
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