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NPI Code Detail

MEDICARE: MELISSA ANN LAUGHREY CRNP

MEDICARE: MELISSA ANN LAUGHREY CRNP
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
1363LA2100XAcute Care Nurse PractitionerAPRN11000241FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16DQACOTHERFLFLORIDA BLUE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578542502
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANN LAUGHREY CRNP
Provider Business Mailing Address
First Line : PO BOX 8569
Second Line :
City : NAPLES
State : FL
Zip : 34101-8569
Country : US
Telephone Number : 239-624-0400
Fax Number : 239-624-0464
Provider Business Practice Location Address
First Line : 1285 CREEKSIDE BLVD E UNIT 104
Second Line :
City : NAPLES
State : FL
Zip : 34109-0595
Country : US
Telephone Number : 239-624-0630
Fax Number : 239-624-0631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 06/18/2020

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