Organization
PRACTITIONER'S HEART HOMEBASED HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BERRY NURSE PRACTITIONER (CEO)
(804) 439-2120
Entity
Organization
Contact information
Practice address
1103 W ROSLYN RD, COLONIAL HEIGHTS, VA 23834-3909
(804) 439-2120
(276) 325-5604
Mailing address
PO BOX 254, COLONIAL HEIGHTS, VA 23834-0254
(804) 439-2120
(276) 325-5604
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
09/11/2025
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