Individual
MRS. LAURA ELIZABETH HOUGH SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3802 POPLAR HILL RD STE C, CHESAPEAKE, VA 23321-5523
(757) 673-8383
(757) 483-9350
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 757-6738
(757) 483-9350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001230792
VA
163WL0100X
Lactation Consultant (Registered Nurse)
L-104779
VA
363L00000X
Nurse Practitioner
Primary
0024178775
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/09/2019
Last updated
06/11/2020
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