MEDICARE: LAURA L VAN AUKER 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	363L00000X	Nurse Practitioner	NP1505	CA

General Provider Information

NPI Number	:	1962593954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA L VAN AUKER NP

Provider Business Mailing Address
First Line	:	10470 OLD PLACERVILLE RD STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2539
Country	:	US
Telephone Number	:	800-470-0071
Fax Number	:

Provider Business Practice Location Address
First Line	:	3133 PROFESSIONAL DR
Second Line	:	#20
City	:	AUBURN
State	:	CA
Zip	:	95603-2463
Country	:	US
Telephone Number	:	530-885-8821
Fax Number	:	530-885-6554

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	03/26/2013

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