Carol Flinn

Individual provider Active NPI Neonatal Nurse Practitioner · Richmond, VA

NPI 1457531907 · NPPES record last updated Nov 13, 2007

Key facts

NPI
1457531907
Entity type
Individual (NPI type 1)
Primary specialty
Neonatal Nurse Practitioner 363LN0000X
License
0024164953 (VA)
Practice address
412 Libbie Ave
Suite 4
Richmond, VA 23226-2659
Phone
(804) 282-8082
Fax
(804) 282-9082
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0024164953VAMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Neonatology, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 0024164953 VA Yes

Addresses

Primary practice location

412 Libbie Ave
Suite 4
Richmond, VA 23226-2659

Mailing address

412 Libbie Ave
Suite 4
Richmond, VA 23226-2659
Phone (804) 282-8082

Other providers in Richmond, VA

All providers in Richmond, VA · Neonatal Nurse Practitioner in Virginia

Sources for this page

Verify at the official NPI Registry.