Mudrich, Laura Scileppi

Mudrich, Laura Scileppi is an individual health care provider with primary practice located at 109 Hospital Dr , Calhoun GA 30701-2067. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mudrich, Laura Scileppi can be contacted via phone (706) 625-0333.

Contact Information

Primary practice address
109 Hospital Dr Calhoun GA 30701-2067
Phone: (706) 625-0333
Fax: (706) 625-1269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN228401 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN228401 Georgia

Profile Details

NPI number 1669843603
LBN Legal business name Mudrich, Laura Scileppi
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2015
Last updated Dec 20th, 2018 - about 6 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 1669843603 NPPES
Georgia MEDICAID 003198832A

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