Elliott, Laura

Elliott, Laura is an individual health care provider with primary practice located at 12277 De Paul Dr Ste 403 , Bridgeton MO 63044-2536. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Elliott, Laura can be contacted via phone (314) 738-2715.

Contact Information

Primary practice address
12277 De Paul Dr Ste 403 Bridgeton MO 63044-2536
Phone: (314) 738-2715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2013035666 Missouri

Profile Details

NPI number 1598193187
LBN Legal business name Elliott, Laura
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2013
Last updated Nov 18th, 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 1598193187 NPPES
Missouri Other 1598193187 NPI
Missouri Other 1760626147 NPI
Missouri Other MA1721 NPI
Missouri MEDICAID 1598193187 NPI

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