Individual
LAURA DIANE CONSTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1600 S ANDREWS AVE STE 101, FT LAUDERDALE, FL 33316-2510
(954) 355-4345
(954) 355-4889
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 355-4345
(954) 355-4889
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11010664
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11010664
FL
363LG0600X
Gerontology Nurse Practitioner
11010664
FL
363LP2300X
Primary Care Nurse Practitioner
11010664
FL
Other
Enumeration date
12/10/2020
Last updated
04/04/2024
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