Provider Demographics
NPI:1376927079
Name:SPILMAN, CAROLYN E (CPNP)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:E
Last Name:SPILMAN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MISS
Other - First Name:CAROLYN
Other - Middle Name:
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:DEPT. OF PEDIATRICS/PEDS NEPHROLOGY
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-628-5690
Practice Address - Fax:804-628-5683
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173293363LP0200X, 363LP0200X
PARN667125163W00000X
NY631047163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse