Individual
DR. LAURA ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5486 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-5365
(757) 424-2490
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 822-4355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102207756
VA
207Q00000X
Family Medicine Physician
42990
MN
207Q00000X
Family Medicine Physician
OS13620
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134141393
—
MN
01
—
33181
BCBS FLORIDA
FL
Enumeration date
07/24/2006
Last updated
05/03/2023
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