MEDICARE: LAURA FAUCETT APRN-FNP

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	363LF0000X	Family Nurse Practitioner	71013215A	IN

General Provider Information

NPI Number	:	1417726936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA FAUCETT APRN-FNP

Provider Business Mailing Address
First Line	:	5419 COUNTY ROAD 427
Second Line	:
City	:	AUBURN
State	:	IN
Zip	:	46706-9504
Country	:	US
Telephone Number	:	833-338-6946
Fax Number	:

Provider Business Practice Location Address
First Line	:	5419 COUNTY ROAD 427
Second Line	:
City	:	AUBURN
State	:	IN
Zip	:	46706-9504
Country	:	US
Telephone Number	:	833-338-6946
Fax Number	:

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

Provider Enumeration Date	:	12/26/2023
Last Update Date	:	12/26/2023

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Directions to “ LAURA FAUCETT APRN-FNP” Practice Location

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