Individual
LAURA A WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 359-1380
(417) 237-7228
Mailing address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 359-1380
(417) 237-7228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201008798
MO
363LF0000X
Family Nurse Practitioner
AP139072
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609194109
—
MO
Enumeration date
05/07/2010
Last updated
03/27/2019
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