Laura L Wavra NP

NPI 1003876434 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1003876434
Gender Female
Enumeration Date 03/28/2006
Last Updated 12/04/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
124 SAGAMORE PKWY W
WEST LAFAYETTE IN, 47906-1569, US
Phone (765) 463-6722
Fax (765) 463-0905
Business Location
124 SAGAMORE PKWY W
WEST LAFAYETTE IN, 47906-1569, US
Phone (765) 463-6722
Fax (765) 463-0905
Toxanomy
Taxonomy Code 363L00000X
License State Indiana
License Number 71001832A
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According to our database, Laura L Wavra NP NPI is 1003876434, taxonomy code is 363L00000X and license number is 71001832A, license state is located at Indiana. Laura L Wavra NP physically located at 124 Sagamore Pkwy W, West Lafayette IN, 47906-1569. NPI Number Laura L Wavra NP has the Individual type.

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1003876434 NPI number is provided on an as is basis without warranty of any kind. 1003876434 is maintained by the National Plan & Provider Enumeration System. The contents of Laura L Wavra NP are for informational purposes only.