Individual
LAURA C. FLEETWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
1229 E SEMINOLE ST STE 220, SPRINGFIELD, MO 65804-2227
(417) 820-5150
Mailing address
1229 E SEMINOLE ST STE 220, SPRINGFIELD, MO 65804-2227
(417) 820-5150
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2015011087
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639565823
—
MO
Enumeration date
04/14/2015
Last updated
06/09/2022
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