Alexander, Laura Nicole

Alexander, Laura Nicole is an individual health care provider with primary practice located at 3 Doctors Park , Gibson City IL 60936-2000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alexander, Laura Nicole can be contacted via phone (217) 784-4030.

Contact Information

Primary practice address
3 Doctors Park Gibson City IL 60936-2000
Phone: (217) 784-4030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209020081 Illinois

Profile Details

NPI number 1710538913
LBN Legal business name Alexander, Laura Nicole
Credentials APRN FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2019
Last updated Aug 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710538913 NPPES
Illinois MEDICAID 370647938022

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