Provider Demographics
NPI:1801858816
Name:CARAWAY, DON DALE (BSN)
Entity type:Individual
Prefix:MR
First Name:DON
Middle Name:DALE
Last Name:CARAWAY
Suffix:
Gender:M
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3628 HOSIERS OAKS DR
Mailing Address - Street 2:PORTSMOUTH
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-3469
Mailing Address - Country:US
Mailing Address - Phone:757-686-2656
Mailing Address - Fax:
Practice Address - Street 1:3628 HOSIERS OAKS DR
Practice Address - Street 2:PORTSMOUTH
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-3469
Practice Address - Country:US
Practice Address - Phone:757-686-2656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001126972163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse