Individual
CLARICE JANE LAPORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
126 S 25TH ST, ESCANABA, MI 49829-1364
(906) 789-3701
(906) 233-1934
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704286130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F08221088
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
10/14/2022
Last updated
07/25/2023
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