Provider Demographics
NPI:1477544708
Name:L'HEUREUX, CAROLYN D (BSN,MSN,FNP)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:D
Last Name:L'HEUREUX
Suffix:
Gender:F
Credentials:BSN,MSN,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 POES LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-7537
Mailing Address - Country:US
Mailing Address - Phone:434-974-9693
Mailing Address - Fax:
Practice Address - Street 1:428 S MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-3629
Practice Address - Country:US
Practice Address - Phone:540-949-8241
Practice Address - Fax:540-949-5582
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001108767163W00000X
VA0024108767363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7780753Medicaid
S96690Medicare UPIN