Provider Demographics
NPI:1487096731
Name:DREVER, CAROL ELIZABETH (NP)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:ELIZABETH
Last Name:DREVER
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Gender:F
Credentials:NP
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Mailing Address - Street 1:1301 SAM PERRY BOULEVARD (MOSS FREE CLINIC)
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401
Mailing Address - Country:US
Mailing Address - Phone:540-741-1061
Mailing Address - Fax:540-741-1096
Practice Address - Street 1:1301 SAM PERRY BOULEVARD (MOSS FREE CLINIC)
Practice Address - Street 2:SUITE 100
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401
Practice Address - Country:US
Practice Address - Phone:540-741-1061
Practice Address - Fax:540-741-1096
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2020-08-13
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Provider Licenses
StateLicense IDTaxonomies
VA0024171015363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily