Individual
LAURA M EDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701
(727) 767-3583
(727) 767-8420
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-3583
(727) 767-8420
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024174820
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9492051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100624100
—
FL
Enumeration date
11/16/2007
Last updated
02/03/2025
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