Healthcare Provider Details

I. General information

NPI: 1932526167
Provider Name (Legal Business Name): LAURA ANN POLLARD MSN, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA ANN SCHNEIDER

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 03/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 N 4TH ST
CLINTON IA
52732-2940
US

IV. Provider business mailing address

550 BREEZY POINT DR # A
CLINTON IA
52732-3638
US

V. Phone/Fax

Practice location:
  • Phone: 563-244-5555
  • Fax:
Mailing address:
  • Phone: 712-898-7569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberD13685
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: