Individual
LAURA GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
HIGHWAY 264 MILE POST 388, POLACCA, AZ 86042
(928) 737-6000
(928) 737-6001
Mailing address
1007 PINE BREEZE ST, GULF BREEZE, FL 32563-3175
(850) 723-8290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9443126
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020529
—
AZ
Enumeration date
04/14/2022
Last updated
04/14/2022
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