Van Horn-Nelson, Laura A

Van Horn-Nelson, Laura A is an individual health care provider with primary practice located at 130 Health Park Blvd , Saint Augustine FL 32086-5776. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Van Horn-Nelson, Laura A can be contacted via phone (904) 826-3469.

Contact Information

Primary practice address
130 Health Park Blvd Saint Augustine FL 32086-5776
Phone: (904) 826-3469
Fax: (904) 808-4608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA0002503 Florida

Profile Details

NPI number 1699774471
LBN Legal business name Van Horn-Nelson, Laura A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Apr 5th, 2020 - 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 1699774471 NPPES
Florida Other PA0002503 FL LICENSE

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