Individual
LAUREN W CANTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS, ACNP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-7075
(703) 776-2797
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001186613
VA
163WC0200X
Critical Care Medicine Registered Nurse
RN1003656
DC
363L00000X
Nurse Practitioner
Primary
0024171182
VA
363LA2100X
Acute Care Nurse Practitioner
0024171182
VA
363LA2100X
Acute Care Nurse Practitioner
RN1003656
DC
Other
Enumeration date
07/18/2011
Last updated
09/02/2021
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