Individual
LAURA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP APRN-NP
Contact information
Practice address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 472-4777
(541) 471-1439
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 472-4777
(541) 471-1439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10019535
OR
363L00000X
Nurse Practitioner
5965-33
WI
Other
Enumeration date
10/29/2014
Last updated
05/09/2024
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