Healthcare Provider Details

I. General information

NPI: 1982926382
Provider Name (Legal Business Name): LAURA SUE TRAMONTANA CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA S PITT CNP

II. Dates (important events)

Enumeration Date: 02/25/2010
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 DELAWARE AVE
MARION OH
43302-6416
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 740-375-6492
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0033747
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: