Individual
LAURA LOUDERMILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
85 DECLARATION DR, SUITE 110, CHICO, CA 95973-4902
(530) 894-6600
(530) 894-1321
Mailing address
1115 KENTFIELD RD, CHICO, CA 95926-7337
(530) 894-5252
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15489
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15489
NURSE PRACTITIONER
CA
Enumeration date
06/13/2006
Last updated
12/14/2012
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