Individual
LAURA CARMICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
238 W MAIN ST, MARION, VA 24354-2529
(276) 247-9669
Mailing address
238 W MAIN ST, MARION, VA 24354-2529
(276) 247-9669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001325324
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024192857
VA
Other
Enumeration date
01/07/2025
Last updated
04/12/2025
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