Basic Information
| Provider Information | |||||||||
| NPI: | 1669852885 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CARAPEZZA | ||||||||
| FirstName: | JOSHUA | ||||||||
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| Credential: | PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 527 POCKET RD | ||||||||
| Address2: | |||||||||
| City: | HURT | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245632023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4343249150 | ||||||||
| FaxNumber: | 4343248248 | ||||||||
| Practice Location | |||||||||
| Address1: | 527 POCKET RD | ||||||||
| Address2: | |||||||||
| City: | HURT | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245632023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4343249150 | ||||||||
| FaxNumber: | 4343248248 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2015 | ||||||||
| LastUpdateDate: | 06/03/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.