Individual
LAURIE ELIZABETH FENDERSON
Active
Individual
LAURIE ELIZABETH FENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0050-00974
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
681462
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287667401
—
TX
Enumeration date
04/10/2007
Last updated
07/10/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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