Wavra, Laura L

Wavra, Laura L is an individual health care provider with primary practice located at 124 Sagamore Pkwy W , West Lafayette IN 47906-1569. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wavra, Laura L can be contacted via phone (765) 463-6722.

Contact Information

Primary practice address
124 Sagamore Pkwy W West Lafayette IN 47906-1569
Phone: (765) 463-6722
Fax: (765) 463-0905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001832A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001832A Indiana

Profile Details

NPI number 1003876434
LBN Legal business name Wavra, Laura L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Dec 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003876434 NPPES
Indiana MEDICAID 200506050

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