MEDICARE: MONICA SUE CARVER 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
1	363LF0000X	Family Nurse Practitioner	0024171810	VA

General Provider Information

NPI Number	:	1932515178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA SUE CARVER NP

Provider Business Mailing Address
First Line	:	POTOMAC CENTER OFFICE
Second Line	:	2296 OPITZ BLVD., STE. 300
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191
Country	:	US
Telephone Number	:	703-523-0998
Fax Number	:

Provider Business Practice Location Address
First Line	:	POTOMAC CENTER OFFICE
Second Line	:	2296 OPITZ BLVD., STE. 300
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-3354
Country	:	US
Telephone Number	:	703-523-0998
Fax Number	:

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

Provider Enumeration Date	:	07/09/2014
Last Update Date	:	09/24/2024

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