Boeckner, Laura

Boeckner, Laura is an individual health care provider with primary practice located at 11185 Stratfield Ct , Marriottsville MD 21104-1659. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Boeckner, Laura can be contacted via phone (410) 442-4011.

Contact Information

Primary practice address
11185 Stratfield Ct Marriottsville MD 21104-1659
Phone: (410) 442-4011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R197113 Maryland

Profile Details

NPI number 1699199521
LBN Legal business name Boeckner, Laura
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2014
Last updated Oct 26th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699199521 NPPES
Maryland MEDICAID 806202100

Popular Providers