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Individual
LAURA SCILEPPI MUDRICH
Active
Individual
LAURA SCILEPPI MUDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN228401
GA
363LG0600X
Gerontology Nurse Practitioner
RN228401
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003198832A
—
GA
Enumeration date
10/16/2015
Last updated
12/20/2018
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