LAURA J HEARST

PORTLAND, ME
NPI1598926214
Former NameLAURA J MAMCHUR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ME  RNA83441)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  SRA-100001)
367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  125032)
Enumeration Date2008-06-25
Last Update Date2015-01-30
Business Address
-- LAURA J HEARST CRNA
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-4562
Mailing Address
-- LAURA J HEARST CRNA
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-4562