Individual
LAURA JANE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3165 DEMERS AVENUE - TRUYU AESTHETIC CENTER, GRAND FORKS, ND 58201
(701) 780-6623
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R32593
ND
Other
Enumeration date
07/01/2015
Last updated
02/25/2019
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