Individual
LAURA JO-ANNE IMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5118
(717) 782-5854
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
073487
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN309779L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101569250
—
PA
01
—
HIGHMARK
1744695
—
Enumeration date
06/27/2006
Last updated
10/01/2018
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