Provider Demographics
NPI:1659608644
Name:WARD, LORI ANNE (CNP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANNE
Last Name:WARD
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2438 S WALTER REED DR
Mailing Address - Street 2:APT D
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-1182
Mailing Address - Country:US
Mailing Address - Phone:703-635-6996
Mailing Address - Fax:
Practice Address - Street 1:2438 S WALTER REED DR
Practice Address - Street 2:APT D
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-1182
Practice Address - Country:US
Practice Address - Phone:703-635-6996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1006540363LF0000X
VA0024168071363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily