MEDICARE: MRS. LAURA LOUISE CURTIS C.F.N.P.

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
1	363LF0000X	Family Nurse Practitioner	LC 186317	MI
2	363LF0000X	Family Nurse Practitioner	4704186317	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5008767520	OTHER	MI	BCBSM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659376762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA LOUISE CURTIS C.F.N.P.

Provider Business Mailing Address
First Line	:	1055 SOUTH US. 27
Second Line	:
City	:	SAINT JOHNS
State	:	MI
Zip	:	48879-2437
Country	:	US
Telephone Number	:	989-224-3000
Fax Number	:	989-224-1424

Provider Business Practice Location Address
First Line	:	1055 SOUTH US. 27
Second Line	:
City	:	SAINT JOHNS
State	:	MI
Zip	:	48879-2437
Country	:	US
Telephone Number	:	989-224-3000
Fax Number	:	989-224-1424

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	12/22/2009

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Directions to “ MRS. LAURA LOUISE CURTIS C.F.N.P.” Practice Location

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