Individual
LAURA G PADRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
45210 CLUB DR, INDIAN WELLS, CA 92210-8860
(805) 704-7706
Mailing address
45210 CLUB DR, INDIAN WELLS, CA 92210-8860
(805) 704-7706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041213376
IL
363LA2100X
Acute Care Nurse Practitioner
209-014651
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
95016214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA452116
PTAN
CA
Enumeration date
06/27/2016
Last updated
11/01/2021
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