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Individual

LAURA WALRADTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
609 VALLEY LANE CT, GREENWOOD, IN 46142-3667
(317) 508-4985
Mailing address
609 VALLEY LANE CT, GREENWOOD, IN 46142-3667
(317) 508-4985

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71008875A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008875A
IN

Other

Enumeration date
03/21/2019
Last updated
12/13/2024
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