Graze, Laura

Graze, Laura is an sole proprietor health care provider with primary practice located at 600 Ne Bayberry Ln , Jensen Beach FL 34957-6824. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Graze, Laura can be contacted via phone (772) 241-7880.

Contact Information

Primary practice address
600 Ne Bayberry Ln Jensen Beach FL 34957-6824
Phone: (772) 241-7880
Fax: (772) 521-9937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9377327 Florida

Profile Details

NPI number 1588087571
LBN Legal business name Graze, Laura
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2014
Last updated Apr 1st, 2021 - about 3 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 1588087571 NPPES
Florida MEDICAID 103595300

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