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Individual
DR. LAURA CROFT MAW
Active
Individual
DR. LAURA CROFT MAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN-C, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
213838-8900
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
213838-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982661039
—
UT
05
—
D6076
—
UT
Enumeration date
05/01/2006
Last updated
04/29/2026
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