| Doctor Name: | LAURA JEAN HERMANN |
| NPI Number: | 1003143926 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., RN-BSN, CNS-BC |
| License Number: | R 162032-4 |
| Business Practice Address: | 225 Smith Ave N Suite 300 Saint Paul, MN - 551022533 |
| Business Phone Number: | 6517266338 |
| Business Fax Number: | 6517260366 |
| Mailing Address: | 1075 Churchill Ct, SHOREVIEW |
| State: | MN |
| Postal Code: | 551265903 |
| Phone Number: | 6514849231 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2009 |
| NPI Last Update Date: | 11/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | R 162032-4 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |