Provider Demographics
NPI:1851571848
Name:ERWIN, CAROL LYNN (NP)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:LYNN
Last Name:ERWIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3445 SEMINOLE TRL STE 249
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-5637
Mailing Address - Country:US
Mailing Address - Phone:434-933-3318
Mailing Address - Fax:972-646-9162
Practice Address - Street 1:1600 GORDON AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-1944
Practice Address - Country:US
Practice Address - Phone:434-933-3318
Practice Address - Fax:972-646-9162
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024123538363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner