Individual
MRS. LAURA LOUISE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1401 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(804) 439-2120
Mailing address
PO BOX 254, COLONIAL HEIGHTS, VA 23834-0254
(804) 439-2120
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024185846
VA
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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