Healthcare Provider Details

I. General information

NPI: 1083010698
Provider Name (Legal Business Name): LAURA HOUWERS APRN, PMHNP-BC, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2014
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 JEFFERSON PKWY STE B
NEWNAN GA
30263-5822
US

IV. Provider business mailing address

280 S SHORE DR
NEWNAN GA
30263-5921
US

V. Phone/Fax

Practice location:
  • Phone: 770-252-5290
  • Fax:
Mailing address:
  • Phone: 770-467-3262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN098532
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN098532
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: