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NPI Code Detail

MEDICARE: LAURA GLEIBERMAN

MEDICARE: LAURA GLEIBERMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN1037756DC
2363LF0000XFamily Nurse Practitioner0024183633VA

General Provider Information

NPI Number : 1063988186
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA GLEIBERMAN
Provider Business Mailing Address
First Line : 1600 N BEAUREGARD ST STE 300
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22311-1732
Country : US
Telephone Number : 703-717-4148
Fax Number : 703-717-4149
Provider Business Practice Location Address
First Line : 1600 N BEAUREGARD ST STE 300
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22311-1732
Country : US
Telephone Number : 703-717-4148
Fax Number : 703-717-4149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2018
Last Update Date : 07/01/2022

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Directions to “ LAURA GLEIBERMAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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