Hotle, Laura Marie
Hotle, Laura Marie is an individual health care provider with primary practice located at 1465 S Grand Blvd 01 Office Room #2730, Saint Louis MO 63104-1003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hotle, Laura Marie can be contacted via phone (314) 577-5647.Contact Information
Primary practice address
1465 S Grand Blvd 01 Office Room #2730
Saint Louis MO 63104-1003
Phone: (314) 577-5647
Fax: (314) 268-2775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 019009 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 2001019009 | Missouri |
Profile Details
| NPI number | 1528043767 |
|---|---|
| LBN Legal business name | Hotle, Laura Marie |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Jan 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528043767 | NPPES |
| Missouri | MEDICAID | 427362207 |
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