Individual
LAURA WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10900 NUCKOLS RD STE 110, GLEN ALLEN, VA 23060-9246
(804) 430-9272
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
(337) 943-0846
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182453
VA
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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