Individual
MS. LAUREN CAROLINE FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW STE 203, ROANOKE, VA 24014-2465
(540) 982-8204
(540) 224-1059
Mailing address
327 CAMPBELL AVE SW APT 204, ROANOKE, VA 24016-3656
(718) 873-5412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001282967
VA
363LA2100X
Acute Care Nurse Practitioner
0024180227
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024180227
VA
Other
Enumeration date
03/24/2019
Last updated
03/19/2021
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