MEDICARE: LORI ANNE WARD CNP

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
1	363LF0000X	Family Nurse Practitioner	RN1006540	DC
2	363LF0000X	Family Nurse Practitioner	0024168071	VA

General Provider Information

NPI Number	:	1659608644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI ANNE WARD CNP

Provider Business Mailing Address
First Line	:	2438 S WALTER REED DR
Second Line	:	APT D
City	:	ARLINGTON
State	:	VA
Zip	:	22206-1182
Country	:	US
Telephone Number	:	703-635-6996
Fax Number	:

Provider Business Practice Location Address
First Line	:	2438 S WALTER REED DR
Second Line	:	APT D
City	:	ARLINGTON
State	:	VA
Zip	:	22206-1182
Country	:	US
Telephone Number	:	703-635-6996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2009
Last Update Date	:	11/11/2009

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