Individual
LAURA ANN REICHWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1455 MONTREAL RD, TUCKER, GA 30084-8100
(865) 985-7253
Mailing address
PO BOX 932925, ATLANTA, GA 31193-2925
(800) 364-9216
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
051371
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000550228D
—
GA
01
—
N347264
WELLCARE
GA
01
—
P00245095
RAILROAD MEDICARE
—
01
—
RN051371
APN
GA
Enumeration date
06/01/2006
Last updated
10/17/2025
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