Most Relevant Information
Provider Data
| NPI Number: | 1003439324 |
| Provider Name: | BLAIR CAROLINE RIVES FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024179497 |
Most Important Dates
| Enumeration Date: | 05/20/2020 |
| Last Updated: | 07/30/2021 |
Provider Practice Location
150 MARKET RIDGE LN
DALEVILLE
VA
240833258
Practice Location Phone/Fax
| Phone: | 5409660400 |
| Fax: |
Provider Mailing Location
130 CHARLESTON PL
DALEVILLE
VA
240833126
Provider Mailing Phone/Fax
| Phone: | 5403532760 |
| Fax: |