Organization
LAURENCE NORDIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURENCE C NORDIN RNFA (FIRST ASSISTANTE)
(209) 526-4500
Entity
Organization
Contact information
Practice address
2116 EASTWOOD CT, MODESTO, CA 95355-1439
(209) 521-9012
Mailing address
2116 EASTWOOD CT, MODESTO, CA 95355-1439
(209) 521-9012
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
—
—
282N00000X
General Acute Care Hospital
Primary
497158
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467580977
REGISTERED NURSE FIRST ASSISTANTE
CA
Enumeration date
02/28/2007
Last updated
08/05/2011
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