# MRS. LAURA WETHERELT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689641052
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 100277 | MT | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | RN19128 | MT | — |

## Other

- **Enumeration date:** 03/03/2006
- **Last updated:** 07/27/2020