Individual
LAURA BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, BC-C
Contact information
Practice address
11590 RIDGELINE DR STE 150, COLORADO SPRINGS, CO 80921-3970
(719) 747-6456
(719) 941-7753
Mailing address
13101 STATE LINE RD, KANSAS CITY, MO 64145-1650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0105059-NP
CO
Other
Enumeration date
04/21/2015
Last updated
08/01/2025
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