Individual
LAURA BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 439-4957
Mailing address
4798 HOSEAH ST, COLUMBUS, OH 43228-9089
(614) 439-4957
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-285618
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA10968-NP
OH
Other
Enumeration date
04/21/2010
Last updated
10/03/2018
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