Individual
MISS LAUREN RIVES GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, NP-C
Contact information
Practice address
1688 LASKIN RD, VIRGINIA BEACH, VA 23451-6114
(866) 389-2727
Mailing address
1688 LASKIN RD, VIRGINIA BEACH, VA 23451-6114
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
247239
NC
363LF0000X
Family Nurse Practitioner
Primary
0024173401
VA
Other
Enumeration date
03/22/2016
Last updated
04/27/2020
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