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Individual
LAURA DENISE SHAPIRO WILSON
Active
Individual
LAURA DENISE SHAPIRO WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN562789
PA
363L00000X
Nurse Practitioner
SP010096
PA
363LF0000X
Family Nurse Practitioner
Primary
ARNP9397265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022651500
—
FL
Enumeration date
01/13/2009
Last updated
03/30/2021
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