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Individual
LAURA ELLEN PRADO
Active
Individual
LAURA ELLEN PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN122652
GA
363LA2200X
Adult Health Nurse Practitioner
RN122652
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00242555
RAILROAD MEDICARE
—
Enumeration date
06/22/2005
Last updated
12/14/2017
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