Provider Demographics
NPI:1154118206
Name:WOODWARD, LAURIE ANNE (APRN)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:ANNE
Last Name:WOODWARD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 MOUNT OLIVE RD
Mailing Address - Street 2:
Mailing Address - City:TOMS BROOK
Mailing Address - State:VA
Mailing Address - Zip Code:22660-1926
Mailing Address - Country:US
Mailing Address - Phone:571-420-3644
Mailing Address - Fax:
Practice Address - Street 1:448 MOUNT OLIVE RD
Practice Address - Street 2:
Practice Address - City:TOMS BROOK
Practice Address - State:VA
Practice Address - Zip Code:22660-1926
Practice Address - Country:US
Practice Address - Phone:571-420-3644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001304571163WP0808X
VA0024193785363L00000X, 363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health