Fleetwood, Laura C.

Fleetwood, Laura C. is an individual health care provider with primary practice located at 1229 E Seminole St Ste 220 , Springfield MO 65804-2227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fleetwood, Laura C. can be contacted via phone (417) 820-5150.

Contact Information

Primary practice address
1229 E Seminole St Ste 220 Springfield MO 65804-2227
Phone: (417) 820-5150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2015011087 Missouri

Profile Details

NPI number 1639565823
LBN Legal business name Fleetwood, Laura C.
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2015
Last updated Jun 9th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639565823 NPPES
Missouri MEDICAID 1639565823

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