Individual
LAURA BUBACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
200 TYRE AVE, NEWARK, DE 19711-7136
(302) 454-2047
(302) 454-5443
Mailing address
200 TYRE AVE, NEWARK, DE 19711-7136
(302) 454-2047
(302) 454-5443
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L10022572
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000038102
—
DE
Enumeration date
02/26/2008
Last updated
02/26/2008
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