Rutledge, Carolyn Morcom

Rutledge, Carolyn Morcom is an individual health care provider with primary practice located at 825 Fairfax Ave 118, Norfolk VA 23507-1914. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rutledge, Carolyn Morcom can be contacted via phone (757) 446-5955.

Contact Information

Primary practice address
825 Fairfax Ave 118 Norfolk VA 23507-1914
Phone: (757) 446-5955
Fax: (757) 446-5196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024076754 Virginia
Nursing Service Providers / Registered Nurse 163W00000X 0001076754 Virginia

Profile Details

NPI number 1023085800
LBN Legal business name Rutledge, Carolyn Morcom
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Sep 16th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023085800 NPPES
Virginia Other -002 -003 TRICARE/CHAMPUS
Virginia MEDICAID 007790929 TRICARE/CHAMPUS
Virginia Other 04017 TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia MEDICAID 7004017 TRICARE/CHAMPUS
Virginia Other PAR TRICARE/CHAMPUS
Virginia Other 42485N TRICARE/CHAMPUS

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