Individual
LAURA ELAINE DEFREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
105 WILDWOOD DR STE 105, GEORGETOWN, TX 78633-1344
(512) 763-4060
(512) 863-4088
Mailing address
1801 CHERRY GLADE TRL, GEORGETOWN, TX 78628-6949
(209) 985-5979
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1088238
TX
Other
Enumeration date
07/22/2022
Last updated
08/08/2022
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