Blymyer, Laurel Ann

Blymyer, Laurel Ann is an individual health care provider with primary practice located at 46440 Benedict Drive, Suite 107 , Sterling VA 20164-6602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blymyer, Laurel Ann can be contacted via phone (703) 450-1125.

Contact Information

Primary practice address
46440 Benedict Drive, Suite 107 Sterling VA 20164-6602
Phone: (703) 450-1125
Fax: (703) 450-1145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024168937 Virginia

Profile Details

NPI number 1124334750
LBN Legal business name Blymyer, Laurel Ann
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2010
Last updated Mar 6th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124334750 NPPES
Virginia MEDICAID 1124334750
Virginia MEDICAID 30016636720001

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