Individual
LAUREN CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
10431 PATTERSON AVE, HENRICO, VA 23238-5101
(804) 532-5147
(804) 369-8818
Mailing address
10431 PATTERSON AVE, HENRICO, VA 23238-5101
(804) 532-5147
(804) 369-8818
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0024179439
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024179439
NURSE PRACTITIONER LICENSE NUMBER
VA
01
—
2020007827
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
07/15/2020
Last updated
03/15/2025
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