Provider Demographics
NPI:1730272923
Name:ABRAMS, LARAINE ANNE (RN)
Entity type:Individual
Prefix:MS
First Name:LARAINE
Middle Name:ANNE
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3152 STRATFORD CT
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-2734
Mailing Address - Country:US
Mailing Address - Phone:703-938-0601
Mailing Address - Fax:
Practice Address - Street 1:8851 RICHMOND HWY
Practice Address - Street 2:ST 202
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309
Practice Address - Country:US
Practice Address - Phone:703-204-7004
Practice Address - Fax:703-799-1053
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001070682163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult