Healthcare Provider Details

I. General information

NPI: 1447171210
Provider Name (Legal Business Name): LAURA NICOLE ALARCON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1204 FOX RUN PL
WOODBRIDGE VA
22191-1012
US

IV. Provider business mailing address

1204 FOX RUN PL
WOODBRIDGE VA
22191-1012
US

V. Phone/Fax

Practice location:
  • Phone: 512-534-1371
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number1061043
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: