Individual
LAURA ELIZABETH NOLTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 615-0063
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 615-0063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN568960
PA
363LF0000X
Family Nurse Practitioner
Primary
SP018732
PA
Other
Enumeration date
04/02/2018
Last updated
04/10/2018
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