Individual
LAURA A SMITH
Active
Individual
LAURA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
111335
NE
363LW0102X
Women's Health Nurse Practitioner
F1088527
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111335
NE STATE LICENSE
NE
Enumeration date
03/05/2012
Last updated
04/20/2020
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