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NPI Code Detail

MEDICARE: MRS. LAURA MORALES APRN-CNP

MEDICARE: MRS. LAURA MORALES APRN-CNP
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
1363LF0000XFamily Nurse Practitioner124726AR

General Provider Information

NPI Number : 1669357414
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA MORALES APRN-CNP
Provider Business Mailing Address
First Line : 309 BONNIE CIR
Second Line :
City : RUSSELLVILLE
State : AR
Zip : 72802-9713
Country : US
Telephone Number : 479-747-7419
Fax Number :
Provider Business Practice Location Address
First Line : 2600 W MAIN ST
Second Line :
City : RUSSELLVILLE
State : AR
Zip : 72801-2535
Country : US
Telephone Number : 833-479-4325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2025
Last Update Date : 08/11/2025

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