Individual
LAURA JO STAUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1101 9TH ST N, ESSENTIA HEALTH VIRGINIA CLINIC, VIRGINIA, MN 55792-2329
(218) 741-0150
Mailing address
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R195243-2
MN
363LG0600X
Gerontology Nurse Practitioner
R195243-2
MN
Other
Enumeration date
03/18/2015
Last updated
08/16/2016
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