Organization
ELEVERA HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA TITCHENELL FNP-BC (FAMILY NURSE PRACTITIONER)
(703) 952-3366
Entity
Organization
Contact information
Practice address
24932 PEACH RIDGE CT, ALDIE, VA 20105-5750
(703) 952-3366
Mailing address
1019B EDWARDS FERRY RD NE # 1060, LEESBURG, VA 20176-3347
(703) 952-3366
(703) 829-1596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024171126
VA BOARD OF NURSING
VA
Enumeration date
04/26/2024
Last updated
04/26/2024
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