Mcdonald, Laura M

Mcdonald, Laura M is an individual health care provider with primary practice located at 3883 Airway Dr Ste 202 , Santa Rosa CA 95403-1671. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcdonald, Laura M can be contacted via phone (707) 303-3600.

Contact Information

Primary practice address
3883 Airway Dr Ste 202 Santa Rosa CA 95403-1671
Phone: (707) 303-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 003676 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20461 California

Profile Details

NPI number 1366637183
LBN Legal business name Mcdonald, Laura M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2007
Last updated Jul 25th, 2018 - about 7 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 1366637183 NPPES
California Other 680365296 PROVIDER TAX ID
California MEDICAID 004236346 PROVIDER TAX ID

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