MEDICARE: CAROLINE VINING FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	5022182	NC

General Provider Information

NPI Number	:	1851183891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE VINING FNP-BC

Provider Business Mailing Address
First Line	:	329 SILVER GROVE CHURCH RD
Second Line	:
City	:	ROCKINGHAM
State	:	NC
Zip	:	28379-6978
Country	:	US
Telephone Number	:	301-717-8637
Fax Number	:

Provider Business Practice Location Address
First Line	:	329 SILVER GROVE CHURCH RD
Second Line	:
City	:	ROCKINGHAM
State	:	NC
Zip	:	28379-6978
Country	:	US
Telephone Number	:	301-717-8637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2025
Last Update Date	:	06/04/2025

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Directions to “ CAROLINE VINING FNP-BC” Practice Location

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