Individual
LAURA PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3138
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
069050
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
0024171268
VA
367H00000X
Anesthesiologist Assistant
004458
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061573200
—
DC
05
—
1891006664
—
VA
05
—
422630500
—
MD
Enumeration date
06/28/2010
Last updated
09/02/2014
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