Individual
LAURA BELAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6120 BRANDON AVE STE 308, SPRINGFIELD, VA 22150-2504
(703) 646-8538
Mailing address
6120 BRANDON AVE STE 308, SPRINGFIELD, VA 22150-2504
(703) 646-8538
(703) 451-7219
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024173979
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811365117
—
NC
05
—
NP3446
—
SC
Enumeration date
09/03/2015
Last updated
05/04/2020
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