Provider Demographics
NPI:1932086675
Name:SENDOLO, CAROLYNE (RN, FNP)
Entity type:Individual
Prefix:
First Name:CAROLYNE
Middle Name:
Last Name:SENDOLO
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12316 SHERBORNE ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-2002
Mailing Address - Country:US
Mailing Address - Phone:703-863-8145
Mailing Address - Fax:
Practice Address - Street 1:10936 GOLD PAN RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-8603
Practice Address - Country:US
Practice Address - Phone:704-839-1977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2011008790363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner