Jensen Riley, Laura

Jensen Riley, Laura is an individual health care provider with primary practice located at 2092 Lake Tahoe Blvd Ste 500 , South Lake Tahoe CA 96150-6429. 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. Jensen Riley, Laura can be contacted via phone (530) 600-1960.

Contact Information

Primary practice address
2092 Lake Tahoe Blvd Ste 500 South Lake Tahoe CA 96150-6429
Phone: (530) 600-1960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 845484 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95019852 California

Profile Details

NPI number 1578216818
LBN Legal business name Jensen Riley, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2022
Last updated Apr 24th, 2022 - 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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