# MRS. LAURA GOERGEN RADOCCHIA

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

## Provider details

- **NPI number:** 1760877765
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 95047545 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 201905022NP-PP | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95004793 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP60961186 | WA | Yes |

## Other

- **Enumeration date:** 04/06/2015
- **Last updated:** 06/04/2024