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NPI Code Detail

MEDICARE: LAUREL L GAMMIE MCDONALD CNM

MEDICARE: LAUREL L GAMMIE MCDONALD CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerARNP 1537942FL
2367A00000XAdvanced Practice MidwifeARNP1537942FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548273832
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREL L GAMMIE MCDONALD CNM
Provider Business Mailing Address
First Line : 1454 MADISON AVE W
Second Line :
City : IMMOKALEE
State : FL
Zip : 34142-2200
Country : US
Telephone Number : 239-658-3707
Fax Number : 239-434-2805
Provider Business Practice Location Address
First Line : 10300 SW 216TH ST
Second Line :
City : CUTLER BAY
State : FL
Zip : 33190-1003
Country : US
Telephone Number : 300-525-3510
Fax Number : 305-254-4901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 12/14/2018

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