Laura L Wavra
Nurse Practitioner Nurse Practitioner - Family Medicine
124 Sagamore Pkwy W
West Lafayette
, Indiana 47906-1569
Laura L Wavra
Nurse Practitioner Nurse Practitioner - Family Medicine
124 Sagamore Pkwy W
West Lafayette
, Indiana 47906-1569
(765) 463-0905
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Laura L Wavra
- 124 Sagamore Pkwy W
- West Lafayette, IN
- Zip : 47906-1569
- Fax : (765) 463-0905
- Phone : (765) 463-6722
Second Address
- Laura L Wavra
- 124 Sagamore Pkwy W
- West Lafayette, IN
- Zip : 47906-1569
- Fax : (765) 463-0905
- Phone : (765) 463-6722
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FAQs
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Is Laura L Wavra a sole practitioner?
Is Laura L Wavra accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 71001832A | IN |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 71001832A | IN |
National Provider Identifier
| NPI | 1003876434 |
|---|---|
| Provider Name | Laura L Wavra |
| First Address | West Lafayette, IN 47906-1569 |
| Second Address | West Lafayette, IN 47906-1569 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2006 |
| Last Update Date | 04/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200506050 | (05) | IN |
| Q36746 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.