Healthcare Provider Details

I. General information

NPI: 1346772910
Provider Name (Legal Business Name): LAURA MICHELLE ORANGE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA MICHELLE KANE

II. Dates (important events)

Enumeration Date: 04/01/2017
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 BUCKS LAKE RD
QUINCY CA
95971-9599
US

IV. Provider business mailing address

7223 SUGARBRUSH CT
RENO NV
89523-2112
US

V. Phone/Fax

Practice location:
  • Phone: 530-283-7161
  • Fax:
Mailing address:
  • Phone: 775-303-4105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number67065
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN002627
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: