Clemens, Carrie A

Clemens, Carrie A is an individual health care provider with primary practice located at 100 Sentara Cir , Williamsburg VA 23188-5713. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Clemens, Carrie A can be contacted via phone (757) 984-6000.

Contact Information

Primary practice address
100 Sentara Cir Williamsburg VA 23188-5713
Phone: (757) 984-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110002304 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002304 Virginia

Profile Details

NPI number 1164469896
LBN Legal business name Clemens, Carrie A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jun 23rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164469896 NPPES
Virginia MEDICAID 1164469896
Virginia Other 11765311

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