Defraia, Laura M

Defraia, Laura M is an individual health care provider with primary practice located at 4069 Lake Dr Se Ste 118 , Grand Rapids MI 49546-8816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Defraia, Laura M can be contacted via phone (616) 267-8520.

Contact Information

Primary practice address
4069 Lake Dr Se Ste 118 Grand Rapids MI 49546-8816
Phone: (616) 267-8520
Fax: (616) 267-7927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 4704307776 Michigan

Profile Details

NPI number 1194092957
LBN Legal business name Defraia, Laura M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2011
Last updated Mar 2nd, 2021 - about 5 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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