| NPI | 1790144970 |
|---|---|
| Former Name | LAURA ELISE PRATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1021155) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704315352) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1021155) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000025383) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704315352) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000025383) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN0000025383) | |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2022-01-29 |