Provider Demographics
NPI:1356173884
Name:ARNOLD, LAURA (RN)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:WALDROP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2036 DRUMONE CT
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-5538
Mailing Address - Country:US
Mailing Address - Phone:804-212-7004
Mailing Address - Fax:
Practice Address - Street 1:2036 DRUMONE CT
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-5538
Practice Address - Country:US
Practice Address - Phone:804-212-7004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001223220163WN1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN1003XNursing Service ProvidersRegistered NurseNutrition Support