Individual
LAURA CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, WHNP
Contact information
Practice address
705 E MARSHALL AVE STE 3000, LONGVIEW, TX 75601-5661
(903) 315-2700
Mailing address
705 E MARSHALL AVE STE 3000, LONGVIEW, TX 75601-5661
(903) 315-2700
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP136860
TX
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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