Laura Sullivan, CPNP is a
Nurse Practitioner - Pediatrics based in West Springfield, Virginia. Laura Sullivan is licensed to practice in Virginia (license number 0024178355) and her current practice location is
8316 Traford Ln, West Springfield, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 569-8400.
NPI number for Laura Sullivan is 1114560919 and her current mailing address is 2642 E Side Dr, Alexandria, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114560919.
Provider's Profile
Full Name | Laura Sullivan |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 8316 Traford Ln, West Springfield, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114560919
- Provider Enumeration Date: 10/24/2019
- Last Update Date: 10/17/2023
Medical Identifiers
Medical identifiers for Laura Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114560919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | 0024178355 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laura Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Laura Sullivan, CPNP 2642 E Side Dr, Alexandria, VA 22306-1707 Ph: (571) 242-9676 | Laura Sullivan, CPNP 8316 Traford Ln, West Springfield, VA 22152-1654 Ph: (703) 569-8400 |
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