Individual
MRS. LAURA THOMPSON PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
250 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4914
(252) 535-8424
(252) 535-8847
Mailing address
PO BOX 640, ROANOKE RAPIDS, NC 27870-0640
(252) 536-5440
(252) 536-5444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200651
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1606W
BCBS OF NC
NC
05
—
7005319
—
NC
01
—
P01096320
RAILROAD MEDICARE
NC
Enumeration date
02/13/2006
Last updated
03/03/2021
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