Individual
MISS LAURA ANDRAYA WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3312 N OAK STREET EXT BLDG D, VALDOSTA, GA 31605-1066
(229) 244-2030
Mailing address
4120 MIDLAND AVE, TIFTON, GA 31794-6149
(229) 326-9557
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN279466
GA
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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