Provider Demographics
NPI:1174999304
Name:SHERNIT, LAURA DOUSE (WHNP)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:DOUSE
Last Name:SHERNIT
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:CARROLL
Other - Last Name:DOUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 37174
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3174
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:3299 WOODBURN RD STE 350
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-7321
Practice Address - Country:US
Practice Address - Phone:703-260-1179
Practice Address - Fax:571-405-6234
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1019721363LW0102X
MDRN217592363LW0102X
VA0024172859363LW0102X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health