Individual
LAURA H NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36 MEDICAL PLZ, HANOVER, IN 47243
(812) 866-3301
(812) 866-3327
Mailing address
PO BOX 3395, EVANSVILLE, IN 47732-3395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01056198
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225569
ANTHEM BCBS
IN
01
—
080185110
RAILROAD MEDICARE
IN
05
—
200378010A
—
IN
01
—
413015P
SIHO
IN
01
—
4617783
AETNA
—
05
—
64051410
—
KY
Enumeration date
07/04/2006
Last updated
02/20/2019
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