Individual
LAURA M ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6303 LITTLE RIVER TPKE, #300, ALEXANDRIA, VA 22312
(703) 914-8989
(703) 914-5494
Mailing address
10406 ARTEMEL LANE, GREAT FALLS, VA 22066
(703) 759-7377
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024162510
VA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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