Doctor Name: | LAURA A CRONIN |
NPI Number: | 1023057312 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 450581 |
Business Practice Address: | 3000 N Interstate 35 Denton, TX - 762015119 |
Business Phone Number: | 9408987000 |
Business Fax Number: | |
Mailing Address: | Po Box 8526, FORT WORTH |
State: | TX |
Postal Code: | 761240526 |
Phone Number: | 8174514208 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2006 |
NPI Last Update Date: | 06/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 450581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |