Individual
MRS. LAURA ANN MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12585 FAIR LAKES CIR, FAIRFAX, VA 22033-3822
(703) 222-0173
(703) 865-7450
Mailing address
12585 FAIR LAKES CIR, FAIRFAX, VA 22033-3822
(703) 222-0173
(703) 865-7450
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024166733
VA
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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