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NPI Code Detail

MEDICARE: MR. CARL MICHAEL CLARITO NP

MEDICARE: MR. CARL MICHAEL CLARITO NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner0024177724VA
2363LA2200XAdult Health Nurse Practitioner0024177724VA
3364SG0600XGerontology Clinical Nurse Specialist0024177724VA
4363L00000XNurse Practitioner0024177724VA

General Provider Information

NPI Number : 1427618065
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CARL MICHAEL CLARITO NP
Provider Business Mailing Address
First Line : 100 SENTARA CIR RM 2C
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23188-5713
Country : US
Telephone Number : 757-984-7217
Fax Number :
Provider Business Practice Location Address
First Line : 1 HEALTH CIR
Second Line :
City : LEXINGTON
State : VA
Zip : 24450-2448
Country : US
Telephone Number : 540-458-3572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2019
Last Update Date : 03/21/2023

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