Individual
MS. LAURA KATHRYN DAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3380
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3380
(717) 782-5716
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013326
PA
363LA2200X
Adult Health Nurse Practitioner
SP010499
PA
363LF0000X
Family Nurse Practitioner
340588
NY
363LF0000X
Family Nurse Practitioner
SP013326
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1602800
GATEWAY MEDICARE ASSURED
PA
01
—
2673428
HIGHMARK BLUE SHIELD - FREEDOM BLUE
PA
Enumeration date
04/19/2011
Last updated
08/16/2024
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