Doctor Name: | LAURA POWELL |
NPI Number: | 1033233606 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | 0024131477 |
Business Practice Address: | 331 Park Hill Dr Fredericksburg, VA - 224013375 |
Business Phone Number: | 5403688091 |
Business Fax Number: | 5403688095 |
Mailing Address: | 331 Park Hill Dr, FREDERICKSBURG |
State: | VA |
Postal Code: | 224013375 |
Phone Number: | 5403688091 |
Fax Number: | 5403688095 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 02/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 0024131477 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |