Individual
MS. LAURIE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.M.H.N.P
Contact information
Practice address
132 W MAIN ST STE 103, MEDFORD, OR 97501-2746
(541) 776-0821
(541) 776-5011
Mailing address
132 W MAIN ST STE 103, MEDFORD, OR 97501-2746
(541) 776-0821
(541) 776-5011
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
OR
Other
Enumeration date
03/06/2007
Last updated
03/07/2023
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