Provider Demographics
NPI:1306068762
Name:FRIEDMAN, CAROLYN GAIL (NP)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:GAIL
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:500 RAY C. HUNT DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903
Mailing Address - Country:US
Mailing Address - Phone:434-980-6140
Mailing Address - Fax:434-972-4266
Practice Address - Street 1:DEPARTMENT OF FAMILY MEDICINE UNIVERSITY OF VIRGINIA
Practice Address - Street 2:1221 LEE STREET
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0001
Practice Address - Country:US
Practice Address - Phone:434-924-5348
Practice Address - Fax:434-982-0911
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001153108163W00000X
VA0024153108363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse