Dijerome, Laura Ann

Dijerome, Laura Ann is an sole proprietor health care provider with primary practice located at 80 Woodland Ave , Cocoa Beach FL 32931-2854. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dijerome, Laura Ann can be contacted via phone (321) 799-2840.

Contact Information

Primary practice address
80 Woodland Ave Cocoa Beach FL 32931-2854
Phone: (321) 799-2840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9341204 Florida

Profile Details

NPI number 1063519148
LBN Legal business name Dijerome, Laura Ann
Credentials RN, CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Feb 13th, 2015 - about 9 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 1063519148 NPPES
Ohio MEDICAID P322604

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