Individual
LAURA CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
20306 BADGER LN, ONANCOCK, VA 23417-1224
(757) 414-0400
(757) 414-0569
Mailing address
20280 MARKET ST, ONANCOCK, VA 23417-1331
(757) 414-0400
(757) 414-0569
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024184557
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
R083401
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040601500
—
MD
05
—
155191400
—
MD
05
—
188461100
—
MD
05
—
267791100
—
MD
05
—
543306100
—
MD
05
—
890001900
—
MD
Enumeration date
03/17/2009
Last updated
03/09/2026
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