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LAURA MARY CLOSE APRN - FNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1770039059
Individual Registrant: LAURA MARY CLOSE APRN - FNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
200 W. HOSPITAL DRIVE WHITERIVER, AZ 85941 US
Tel: 860-803-3829 Fax: --
Tel: 860-803-3829 Fax: --
Contact information for business:
200 W. HOSPITAL DRIVE WHITERIVER, AZ 85941 US
Tel: 928-338-3630 Fax: --
Tel: 928-338-3630 Fax: --
Registration Information:
NPI: 1770039059
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | AZ | AP8687 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
