LAURELLE FAMILY HEALTH & WELLNESS CENTER PLLC NPI 1497429526

NPI Information

NPI: 1497429526
Provider Name: LAURELLE FAMILY HEALTH & WELLNESS CENTER, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D2252252

Address:
2304 DE LEE ST
BRYAN, TX
ZIP 77802
Phone: (979) 224-1087
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LAURELLE FAMILY HEALTH & WELLNESS CENTER, PLLC is a family nurse practitioner in Bryan, TX. LAURELLE FAMILY HEALTH & WELLNESS CENTER, PLLC NPI is 1497429526. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2304 DE LEE ST
BRYAN, TX
ZIP 77802-815
Phone: (979) 224-1087

The provider's authorized official is Catherine N Manga .
The authorized official title is Owner and has the following contact phone number (979) 224-1087.

The CLIA number assigned to this NPI record is 45D2252252 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2021 and was last updated on 8/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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