IndividualActive
Carly Anne Wilson, PA
NPI 1316698582 · Physician Assistant · Raphine, VA
Provider details
- NPI number
- 1316698582
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 0110008398 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
25 Commerce Park Dr
Raphine, VA 24472-2547
Phone: (540) 490-2527
Approximate (ZIP-level) locationGet directions
Mailing address
40 Ball Diamond Trl
Vesuvius, VA 24483-2901
Registry dates
- Enumerated
- 2022-01-10
- Last updated
- 2022-03-14
- Certified
- 2022-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.