Individual
MS. CLAIRE LOUISE LAURENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN,BC
Contact information
Practice address
11870 SUNRISE VALLEY DR, STE 200, RESTON, VA 20191-3303
(703) 598-8402
(703) 391-7381
Mailing address
2032 ROYAL FERN CT., 1-A, RESTON, VA 20191-2032
(703) 598-8402
(703) 391-7381
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
0001093793
VA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
0015000179
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059009
ANTHEM BC/BS
VA
01
—
255174000
MAGELLAN NUMBER
VA
01
—
7070119
AETNA NUMBER
VA
01
—
J3170001
CAREFIRST BC NUMBER
VA
Enumeration date
06/27/2005
Last updated
10/28/2019
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