Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
LAURA DETERS
Active
Individual
LAURA DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041254809
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2500075
BCBS
IL
01
—
702089
HEALTHLINK
—
Enumeration date
02/04/2009
Last updated
02/04/2009
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