Individual
LAURA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
2501 WARREN RD, INDIANA, PA 15701-3280
(724) 349-5620
Mailing address
305 7TH ST, NEW KENSINGTON, PA 15068-6529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN731521
PA
363LF0000X
Family Nurse Practitioner
Primary
SP022453
PA
Other
Enumeration date
10/26/2020
Last updated
08/25/2021
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