Provider Demographics
NPI:1366753873
Name:MICHALSKI, CARRIE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:MICHALSKI
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 E CARY ST
Mailing Address - Street 2:SUITE 290
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-3816
Mailing Address - Country:US
Mailing Address - Phone:434-977-4488
Mailing Address - Fax:434-977-6103
Practice Address - Street 1:600 PETER JEFFERSON PARKWAY
Practice Address - Street 2:SUITE 290
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8835
Practice Address - Country:US
Practice Address - Phone:434-977-4488
Practice Address - Fax:434-977-6103
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2016-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024167009363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health