MEDICARE: LAURA MICHELLE VANSTON CPNP

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	363LA2100X	Acute Care Nurse Practitioner	APN.0991828-NP	CO
2	363LP0200X	Pediatric Nurse Practitioner	0991828	CO
3	363LP0200X	Pediatric Nurse Practitioner	APN.0991828-NP	CO

General Provider Information

NPI Number	:	1750617783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA MICHELLE VANSTON CPNP

Provider Business Mailing Address
First Line	:	2001 S GALAPAGO ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-3928
Country	:	US
Telephone Number	:	330-962-4811
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 S GALAPAGO ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-3928
Country	:	US
Telephone Number	:	330-962-4811
Fax Number	:

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

Provider Enumeration Date	:	10/27/2009
Last Update Date	:	12/01/2023

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