Individual
ELISE MCLAWHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6760 MAIN ST, GLOUCESTER, VA 23061-5143
(804) 693-3500
(804) 693-3503
Mailing address
PO BOX 857, GLOUCESTER, VA 23061-0857
(804) 693-3500
(804) 693-3503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173344
VA
Other
Enumeration date
03/02/2016
Last updated
03/03/2020
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