Provider Demographics
NPI:1346076395
Name:NORRIS, LAURA MICHELLE (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MICHELLE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 GRANBY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1931
Mailing Address - Country:US
Mailing Address - Phone:757-228-5100
Mailing Address - Fax:
Practice Address - Street 1:332 GRANBY ST STE 200
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1931
Practice Address - Country:US
Practice Address - Phone:757-228-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024191136363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily