Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 22128 | SC |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN261901 | GA |
NPI | 1316483621 |
---|---|
Provider Name | Laura Elsey Orr |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-2305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2017 |
Last Update Date | 12/11/2018 |