Provider Demographics
NPI:1003225293
Name:CARNES, PATRICIA LYNNE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LYNNE
Last Name:CARNES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:LYNNE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:24795 PINEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH RIDING
Mailing Address - State:VA
Mailing Address - Zip Code:20152-4239
Mailing Address - Country:US
Mailing Address - Phone:703-999-7682
Mailing Address - Fax:
Practice Address - Street 1:24795 PINEBROOK RD
Practice Address - Street 2:
Practice Address - City:SOUTH RIDING
Practice Address - State:VA
Practice Address - Zip Code:20152-4239
Practice Address - Country:US
Practice Address - Phone:703-542-7691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-13
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024171953363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily