Provider Demographics
NPI:1982791406
Name:CAROTHERS, VICKIE ANN (CFNP)
Entity type:Individual
Prefix:MRS
First Name:VICKIE
Middle Name:ANN
Last Name:CAROTHERS
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 CANTRELL AVE.
Mailing Address - Street 2:MSC-7901 MONTPELIER HALL
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-4727
Mailing Address - Country:US
Mailing Address - Phone:540-564-1839
Mailing Address - Fax:540-568-6176
Practice Address - Street 1:UNIVERSITY HEALTH CENTER JAMES MADISON UNIVERSITY
Practice Address - Street 2:MSC 7901
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-0001
Practice Address - Country:US
Practice Address - Phone:540-568-7321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017138388363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily