Individual
LAURA RENEE MAAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1380 E STROOP RD, KETTERING, OH 45429-4926
(937) 293-3486
(937) 522-8057
Mailing address
415 BYERS RD STE 300, MIAMISBURG, OH 45342-3684
(937) 866-2494
(937) 866-8494
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.023105
OH
363LA2200X
Adult Health Nurse Practitioner
RN.380043
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0308820
—
OH
Enumeration date
07/09/2018
Last updated
04/28/2025
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