MEDICARE: MS. LAURA LONG SARCONE CNM, ANP

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	363LA2200X	Adult Health Nurse Practitioner	419	AK
2	367A00000X	Advanced Practice Midwife	419	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780677955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA LONG SARCONE CNM, ANP

Provider Business Mailing Address
First Line	:	1444 HILLCREST DR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-1638
Country	:	US
Telephone Number	:	907-272-4047
Fax Number	:

Provider Business Practice Location Address
First Line	:	4320 DIPLOMACY DR
Second Line	:	SUITE 1800
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5925
Country	:	US
Telephone Number	:	907-729-3100
Fax Number	:	907-729-3170

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	09/10/2012

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