Individual
MRS. LAURA JEAN SCHRECKENGOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP
Contact information
Practice address
6730 ROOSEVELT AVE STE 201, MIDDLETOWN, OH 45005-5730
(513) 279-8035
Mailing address
200 OCEANGATE, SUITE #100, LONG BEACH, CA 90802-4317
(562) 499-6199
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
COA.18329-NP
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.18329
OH
Other
Enumeration date
11/05/2015
Last updated
10/22/2021
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