Powers, Laura Ann

Powers, Laura Ann is an individual health care provider with primary practice located at 1737 Beam Ave , Maplewood MN 55109-2185. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Powers, Laura Ann can be contacted via phone (651) 770-3320.

Contact Information

Primary practice address
1737 Beam Ave Maplewood MN 55109-2185
Fax: (651) 770-3684
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 8889 Minnesota

Profile Details

NPI number 1679596431
LBN Legal business name Powers, Laura Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 5th, 2011 - about 15 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 1679596431 NPPES
Minnesota MEDICAID 312893800

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