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:
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Health care specialties

SpecialtyCodeLicense #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 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 1528043767 NPPES
Missouri MEDICAID 427362207

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