Individual
LAURA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3895 CHEROKEE ST NW STE 400, KENNESAW, GA 30144-6732
(678) 369-7755
(415) 252-7176
Mailing address
3895 CHEROKEE ST NW STE 400, KENNESAW, GA 30144-6732
(678) 369-7755
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN264851
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN264851
GA
Other
Enumeration date
08/01/2020
Last updated
10/15/2025
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