Individual
DR. W LAWRENCE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, RN, CPNP
Contact information
Practice address
6330 N CENTER DR STE 200, NORFOLK, VA 23502-4008
(757) 233-0003
(757) 233-1669
Mailing address
6330 N CENTER DR STE 200, NORFOLK, VA 23502-4008
(757) 233-0003
(757) 233-1669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001128887
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0024128887
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010099536
—
VA
Enumeration date
02/20/2013
Last updated
03/07/2023
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