NPI 1003624958

Tia Carpenter, CSFA

Practitioner Surgical Assistant Portsmouth, VA

Practice location

Address: 4415 Gannon Rd, Portsmouth, VA 23703-4830
Phone: (814) 590-3812

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 0136000424 (VA)

Other Specialist/Technologist, Other providers in Virginia →

Registry record

NPI: 1003624958
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Dec 2024
Record last updated: 24 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.