MEDICARE: LAURA STEIN NP

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	APRN11034960	FL

General Provider Information

NPI Number	:	1417771049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA STEIN NP

Provider Business Mailing Address
First Line	:	130 S INDIAN RIVER DR
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4343
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 S INDIAN RIVER DR
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4343
Country	:	US
Telephone Number	:	772-577-2800
Fax Number	:

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

Provider Enumeration Date	:	11/11/2024
Last Update Date	:	01/12/2026

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Directions to “ LAURA STEIN NP” Practice Location

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