Healthcare Provider Details

I. General information

NPI: 1700254877
Provider Name (Legal Business Name): LAURA PASHAIAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2015
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3065 W BANCROFT ST
TOLEDO OH
43606-3353
US

IV. Provider business mailing address

3065 W BANCROFT ST
TOLEDO OH
43606-3353
US

V. Phone/Fax

Practice location:
  • Phone: 419-720-2273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704387914
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0042094
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: