Provider Demographics
NPI:1053580597
Name:BRUFLAT, CAROLA (NONE) (RNC, MSN, WHNP)
Entity type:Individual
Prefix:MRS
First Name:CAROLA
Middle Name:(NONE)
Last Name:BRUFLAT
Suffix:
Gender:F
Credentials:RNC, MSN, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9632 PODIUM DR
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3336
Mailing Address - Country:US
Mailing Address - Phone:703-255-9820
Mailing Address - Fax:703-319-9670
Practice Address - Street 1:8501 ARLINGTON BLVD STE 300
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4625
Practice Address - Country:US
Practice Address - Phone:703-560-1611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024079274363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health