Individual
MS. LAURA ANNE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, FNP-BC
Contact information
Practice address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 225-1512
Mailing address
4808 FOX CHAPEL RD, FAIRFAX, VA 22030-4509
(703) 352-7551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024067332
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77-8902-7
—
VA
Enumeration date
06/15/2006
Last updated
02/20/2009
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