DR. DEIRDRE MARY CAROLAN CRNP PH.D. NPI 1467659698

NPI Information

NPI: 1467659698
Provider Name: DR. DEIRDRE MARY CAROLAN, CRNP, PH.D.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3300 GALLOWS RD
INOVA FAIRFAX HOSPITAL
FALLS CHURCH, VA
ZIP 22042
Phone: (703) 776-3789
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DR. Deirdre Mary Carolan, CRNP, PH.D. is an adult health nurse practitioner in Falls Church, VA with 20 years of experience. DR. Deirdre Mary Carolan, CRNP, PH.D. NPI is 1467659698. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3300 GALLOWS RD
INOVA FAIRFAX HOSPITAL
FALLS CHURCH, VA
ZIP 22042-307
Phone: (703) 776-3789

The NPI 1467659698 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 6/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	001066408	VIRGINIA	No
2	364SG0600X	Clinical Nurse Specialist	Gerontology	15000207	VIRGINIA	No
3	363LA2200X	Nurse Practitioner	Adult Health	0001-066408	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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