Healthcare Provider Details

I. General information

NPI: 1801023783
Provider Name (Legal Business Name): LAURA MICHELE CAMP MSN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURIE MICHELE COOK FNP-BC

II. Dates (important events)

Enumeration Date: 06/17/2009
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 MAIN ST UNIT D
FREDERICK CO
80530-5011
US

IV. Provider business mailing address

630 MAIN ST UNIT D
FREDERICK CO
80530-5011
US

V. Phone/Fax

Practice location:
  • Phone: 720-706-5363
  • Fax: 303-567-7442
Mailing address:
  • Phone: 720-706-5363
  • Fax: 303-567-7442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberFNP.0990247-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: