Individual
MISS LAURA FAILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10 CENTER DR, RM 9N224, BETHESDA, MD 20892-0001
(301) 761-7670
Mailing address
4 MEMORIAL DRIVE RM 134, BETHESDA, MD 20892-0001
(240) 669-5323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024170096
VA
363LF0000X
Family Nurse Practitioner
Primary
AC001925
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194870311
GROUP NPI
VA
Enumeration date
07/04/2012
Last updated
03/01/2024
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