Individual
LAURA L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11946 STANDING STONE DR, GRETNA, NE 68028-8094
(402) 815-4500
(402) 815-4510
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110811
NE
363LF0000X
Family Nurse Practitioner
110811
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026450100
—
IA
05
—
10026450100
—
NE
05
—
47068731734
—
NE
05
—
47068731741
—
NE
05
—
47068731749
—
NE
Enumeration date
08/19/2006
Last updated
12/04/2015
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