Provider Demographics
NPI:1467931311
Name:MAYS, LAURA ROBERTS (FNP-C)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ROBERTS
Last Name:MAYS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2252 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:BUENA VISTA
Mailing Address - State:VA
Mailing Address - Zip Code:24416-3122
Mailing Address - Country:US
Mailing Address - Phone:540-261-7421
Mailing Address - Fax:540-261-1952
Practice Address - Street 1:2252 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:BUENA VISTA
Practice Address - State:VA
Practice Address - Zip Code:24416
Practice Address - Country:US
Practice Address - Phone:540-261-7421
Practice Address - Fax:540-261-1952
Is Sole Proprietor?:No
Enumeration Date:2018-08-11
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176337363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024176337OtherNURSE PRACTITIONER LICENSE