Individual
LAURA NICOLE BAMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17867
SC
363LA2200X
Adult Health Nurse Practitioner
RN189214
GA
Other
Enumeration date
03/17/2011
Last updated
08/27/2012
Update your record
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