Healthcare Provider Details

I. General information

NPI: 1255430948
Provider Name (Legal Business Name): JOY ANN LARAMIE N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 IRVING STREET NW
WASHINGTON DC
20422
US

IV. Provider business mailing address

4812 NORTH 20TH PLACE
ARLINGTON VA
22207
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-8000
  • Fax: 202-745-2283
Mailing address:
  • Phone: 202-745-8000
  • Fax: 202-745-2283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN52318
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: