Provider Demographics
NPI:1407202773
Name:LOVELL, CARLEY G (MA, MS, RN, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:CARLEY
Middle Name:G
Last Name:LOVELL
Suffix:
Gender:F
Credentials:MA, MS, RN, WHNP-BC
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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 IM:GEN. MED./PRIMARY CARE
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-3414
Practice Address - Fax:804-828-5566
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2016-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0024168156363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health