Brack, Laura Wilson

Brack, Laura Wilson is an individual health care provider with primary practice located at 2001 Vail Ave Ste 360, Charlotte NC 28207-1248. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brack, Laura Wilson can be contacted via phone (704) 304-1160.

Contact Information

Primary practice address
2001 Vail Ave Ste 360 Charlotte NC 28207-1248
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 940076 North Carolina

Profile Details

NPI number 1356337166
LBN Legal business name Brack, Laura Wilson
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 15th, 2024 - about 2 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.

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