Provider Demographics
NPI:1023173200
Name:TURPIN, CAROLYN THOMPSON (CRNP)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:THOMPSON
Last Name:TURPIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9401 LEE HWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1849
Mailing Address - Country:US
Mailing Address - Phone:703-383-4836
Mailing Address - Fax:703-383-4911
Practice Address - Street 1:9401 LEE HWY
Practice Address - Street 2:SUITE 400
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-1849
Practice Address - Country:US
Practice Address - Phone:703-383-4836
Practice Address - Fax:703-383-4911
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024122919363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
006371M92Medicare ID - Type Unspecified
P23300Medicare UPIN