Ensley-Eddy, Laura Jean

Ensley-Eddy, Laura Jean is an sole proprietor health care provider with primary practice located at 1300 E Mullan Ave Ste 1300 , Post Falls ID 83854-6057. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ensley-Eddy, Laura Jean can be contacted via phone (208) 625-5630.

Contact Information

Primary practice address
1300 E Mullan Ave Ste 1300 Post Falls ID 83854-6057
Phone: (208) 625-5630
Fax: (208) 625-5631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 44397 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 46804 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 46804 Wyoming

Profile Details

NPI number 1740453539
LBN Legal business name Ensley-Eddy, Laura Jean
Credentials M.S.N., F.N.P.-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2008
Last updated Apr 26th, 2024 - about 7 months 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 1740453539 NPPES
Alaska MEDICAID NP57911

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