Basic Information
Provider Information
NPI: 1023173200
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURPIN
FirstName: CAROLYN
MiddleName: THOMPSON
NamePrefix: MS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9401 LEE HWY
Address2: SUITE 400
City: FAIRFAX
State: VA
PostalCode: 220311849
CountryCode: US
TelephoneNumber: 7033834836
FaxNumber: 7033834911
Practice Location
Address1: 9401 LEE HWY
Address2: SUITE 400
City: FAIRFAX
State: VA
PostalCode: 220311849
CountryCode: US
TelephoneNumber: 7033834836
FaxNumber: 7033834911
Other Information
ProviderEnumerationDate: 12/27/2006
LastUpdateDate: 04/28/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X0024122919VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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