MEDICARE: LAURA M ARENCIBIA APRN CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	APRN11041351	FL

General Provider Information

NPI Number	:	1376421123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA M ARENCIBIA APRN CNM

Provider Business Mailing Address
First Line	:	449 CYPRESS LN
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-1507
Country	:	US
Telephone Number	:	941-350-3209
Fax Number	:

Provider Business Practice Location Address
First Line	:	449 CYPRESS LN
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-1507
Country	:	US
Telephone Number	:	941-350-3209
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2025
Last Update Date	:	08/21/2025

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