Individual
MRS. LAURA ELIZABETH GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
1002 AMHERST ST STE C, WINCHESTER, VA 22601-3323
(540) 662-3853
(540) 662-0336
Mailing address
1002 AMHERST ST STE C, WINCHESTER, VA 22601-3323
(540) 662-3853
(540) 662-0336
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024176590
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024176590
LICENSED NURSE PRACTITIONER NUMBER
VA
Enumeration date
09/07/2018
Last updated
09/07/2018
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