Provider Demographics
NPI:1275797938
Name:CARTER, FARNAZ (NP)
Entity Type:Individual
Prefix:MRS
First Name:FARNAZ
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7611 FOREST AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4946
Mailing Address - Country:US
Mailing Address - Phone:804-673-8791
Mailing Address - Fax:804-673-3228
Practice Address - Street 1:7611 FOREST AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4946
Practice Address - Country:US
Practice Address - Phone:804-673-8791
Practice Address - Fax:844-290-7602
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024096991363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology