Individual
LAURA RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5659 S PARKWAY DRIVE #100, GLOUCESTER, VA 23061
Mailing address
14623 WINGAPO DR, LANEXA, VA 23089-6140
(757) 943-2344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001235190
VA
363LF0000X
Family Nurse Practitioner
Primary
0024187749
VA
Other
Enumeration date
06/08/2023
Last updated
08/22/2023
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