MRS. LAURA LEIGH WOLOK


Address: 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354
Phone: 8775114625

MRS. LAURA LEIGH WOLOK (NPI# 1184954539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184954539
Entity Type Individual
Full Name MRS. LAURA LEIGH WOLOK
Credential R.D., C.D.E.
Practice Address 2740 Prosperity Ave Ste 200
Fairfax
VA 22031-4354
Practice Telephone 8775114625
Practice Fax Number 7032049006
Mailing Telephone 8775114625
Mailing Fax Number 7032049006
Enumeration Date 2010-01-07
Last Update Date 2020-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
20320510 VA Nursing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2700 Prosperity Ave Ste 100, Fairfax, VA 220314340 7036982505 7036982506

Office Location

Street Address 2740 PROSPERITY AVE STE 200
City FAIRFAX
State VA
Zip Code 22031-4354

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801845284 Yasser Hadj Ousman Internal Medicine 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2006-05-10
1801449657 Katherine Kline Dietitian, Registered 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2019-07-22
1801383617 James Wadell Brunson Jr. Counselor 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2018-04-17
1336642180 Nina Mesadieu Nurse Practitioner 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2018-03-16
1871004952 Jekaterina Tolstenko Nurse Practitioner 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2017-10-17
1306222120 Emily Viall Registered Nurse 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2015-08-04
1255738076 Prosperity Rx Fairfax Inc Pharmacy 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2014-11-21
1366844185 Sarah Kelly Dietitian, Registered 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2014-09-24
1164733879 Sarah Penland Social Worker 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2010-06-28
1952563785 Shwetha Thukuntla Internal Medicine 2740 Prosperity Ave Ste 200, Fairfax, VA 22031 2008-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902414105 Su Jung Kang Dentist 9661-c Main Street, Fairfax, VA 22031 2020-07-14
1346896347 Fuling Guo Acupuncturist 3013 James St, Fairfax, VA 22031 2019-08-15
1902458797 Kayla Callister Psychologist 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 2019-07-11
1790349801 Fairfax Dental Esthetics Dentist 9621 Fairfax Blvd., Fairfax, VA 22031 2019-04-24
1417427675 Kathryn Yen Ho Speech-Language Pathologist 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 2018-11-30
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
1316432669 Delta Pharm LLC Pharmacy 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 2018-06-28
1629567656 Laura Breeden Acupuncturist 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 2018-05-04
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306222120 Emily Viall Registered Nurse 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2015-08-04
1588824288 Eunice E White Registered Nurse 1787 Allendale Fairfax Hwy, Pob 218, Fairfax, SC 29827-9133 2008-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689103426 Central Virginia Alliance for Community Living, Inc. Registered Nurse 501 12th Street, Suite A, Lynchburg, VA 24504 2017-06-06
1952848400 Bridgitte Willis-townsell Registered Nurse 3109 Reserve Way, Newport News, VA 23602-5852 2017-01-23
1134677230 Kimberly D Miller Registered Nurse 1415 Jefferson Park Avenue Mckim Hall Office 2099, Charlottesville, VA 22908-0001 2016-09-17
1710370838 Potomac Wellness Registered Nurse 46494 Primula Ct, Sterling, VA 20165-7248 2015-03-13
1437406600 Amy Michelle Hilderman Registered Nurse 943 Watertown Ct, Virginia Beach, VA 23451-4889 2012-08-07
1306121694 Betty Roseanne Zivich Registered Nurse 6233 Garretson St, Burke, VA 22015-3521 2011-10-18
1912180829 Greenspring Village Inc. Registered Nurse 7410 Spring Village Dr, Springfield, VA 22150-4485 2007-12-13
1184605925 Sharron Mckinney Jackson Registered Nurse 9501 Farrell Rd, Ste Gc11, Dewitt Army Hospital, Ft Belvior, VA 22060 2005-11-09
1588659569 Apothecary Solutions Inc Registered Nurse 207 E Main St, Remington, VA 22734-9693 2005-09-15
1750915443 Rosa Ganey Registered Nurse 1200 N Howard St, Alexandria, VA 22304-1634 2020-03-03
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Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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