Individual
LAURA BALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
15 MEADE ST, SUITE L3, WELLSBORO, PA 16901-1813
(570) 723-2855
(570) 723-2877
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
303540-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
SP013789
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02301004
—
NY
Enumeration date
03/10/2006
Last updated
05/08/2014
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