Individual provider · Type 1 NPI
Lauren Nicole Dotterer, NP
Gerontology Nurse Practitioner · Manassas, VA
NPI number
1063089944
Active
Practice location
8100 Ashton Ave Ste 200
Manassas, VA 20109-5688
Fax (571) 358-3941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 0024182167 (VA) |
| Registered Nurse | 163W00000X | 0001275757 (VA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1063089944
Lauren Nicole Dotterer, NP's National Provider Identifier is 1063089944, issued on Jun 8, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Manassas, VA. The record was last updated on Nov 8, 2021.