# MRS. LAURA MAE VAN FOSSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104693324
- **Gender:** F
- **Credential:** RN, CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 26RN16127800 | NJ | — |
| 367A00000X | Advanced Practice Midwife | 25ME00085100 | NJ | — |
| 367A00000X | Advanced Practice Midwife | 25ME00085101 | NJ | Yes |

## Other

- **Enumeration date:** 12/07/2023
- **Last updated:** 12/29/2023