Healthcare Provider Details

I. General information

NPI: 1982692232
Provider Name (Legal Business Name): CATHERINE ANN LAURING RN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 05/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4570 W 77TH ST STE 350
EDINA MN
55435-5035
US

IV. Provider business mailing address

2924 HILLSVIEW W
ROSEVILLE MN
55113-2172
US

V. Phone/Fax

Practice location:
  • Phone: 952-345-8770
  • Fax: 952-345-8771
Mailing address:
  • Phone: 651-481-1136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberCNP2385
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number2385
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: