Green, Laura Leslie

Green, Laura Leslie is an individual health care provider with primary practice located at 2030 Sutter Pl , Davis CA 95616-6212. 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. Green, Laura Leslie can be contacted via phone (530) 750-5904.

Contact Information

Primary practice address
2030 Sutter Pl Davis CA 95616-6212
Phone: (530) 750-5904
Fax: (530) 750-5905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP6252 California

Profile Details

NPI number 1144329731
LBN Legal business name Green, Laura Leslie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Apr 24th, 2012 - about 13 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 1144329731 NPPES
California MEDICAID RN391706

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