Healthcare Provider Details

I. General information

NPI: 1346175353
Provider Name (Legal Business Name): LAUREN DAVIS RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45085 UNIVERSITY DR
ASHBURN VA
20147-2766
US

IV. Provider business mailing address

836 BLUEFIELD SQ NE
LEESBURG VA
20176-6675
US

V. Phone/Fax

Practice location:
  • Phone: 571-707-8522
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number0001308775
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: