Provider Demographics
NPI:1487096731
Name:DREVER, CAROL ELIZABETH (NP)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:ELIZABETH
Last Name:DREVER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 BRUNSWICK LN STE B
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-3339
Mailing Address - Country:US
Mailing Address - Phone:276-200-2539
Mailing Address - Fax:804-816-4556
Practice Address - Street 1:110 BRUNSWICK LN STE B
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-3339
Practice Address - Country:US
Practice Address - Phone:276-200-2539
Practice Address - Fax:804-816-4556
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024171015363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily