Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Carol Dianne Douglas, RNLIC19836

Individual provider Registered Nurse · NPI 1982389045

Mrs. Carol Dianne Douglas, RNLIC19836 is a Registered Nurse in Clarksburg, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2023

Practice location Address checks out

105 Mandan Rd
Clarksburg, WV 26301-4314
Phone: (304) 677-4059
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 19836 (WV)

Record details

NPI number1982389045
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNLIC19836
Sole proprietorYes
NPI enumeratedJune 16, 2023
Last updated in NPPESJune 16, 2023
Certification dateJune 16, 2023

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