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General NPI Number Information
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NPI Number | 1376055723
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Entity Type | Individual
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Provider Name | LAURA SHERI KREMER AGPCNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 39475 LEWIS DR STE 150
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City | NOVI
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State | MI
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Zip | 48377-2980
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Country | US
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Telephone | 248-301-3900
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Fax | 248-800-3310
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Provider Business Mailing Address
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Address Line | 39475 LEWIS DR STE 150
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City | NOVI
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State | MI
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Zip | 48377-2980
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Country | US
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Telephone | 248-301-3900
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Fax | 248-800-3310
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4704270529
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704270529
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License Number State | MI
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