Individual
STEPHANIE LAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1135 N OLD 27, GRAYLING, MI 49738-9777
(989) 344-3540
Mailing address
1135 N OLD 27, GRAYLING, MI 49738-9777
(989) 344-3540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704300481
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383372828
DISTRICT HEALTH DEPARTMENT
—
Enumeration date
05/06/2021
Last updated
05/10/2021
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