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Individual

LAURA JOHNSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-C, WHNP-BC

Contact information

Practice address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3505
(316) 759-5049
Mailing address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3505
(316) 759-5049

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
83403
KS
363LW0102X
Women's Health Nurse Practitioner
83403
KS

Other

Enumeration date
05/11/2021
Last updated
03/11/2025
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