Doctor Name: | LAURA MASTERS |
NPI Number: | 1154793685 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 111934 |
Business Practice Address: | 810 W Reid Ave Suite 2 North Platte, NE - 691016583 |
Business Phone Number: | 3082216262 |
Business Fax Number: | |
Mailing Address: | 810 W Reid Ave Ste 2, NORTH PLATTE |
State: | NE |
Postal Code: | 691016582 |
Phone Number: | 3082216262 |
Fax Number: | 3082216261 |
NPI Enumeration Date: | 10/23/2015 |
NPI Last Update Date: | 11/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 111934 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |