Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | SP012884 | PA |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | F350271 | NY |
NPI | 1073708640 |
---|---|
Provider Name | Mrs. Laura Ann Mchugh |
First Address | Jenkintown, PA 19046-2851 |
Second Address | Philadelphia, PA 19134-1011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2007 |
Last Update Date | 28/09/2016 |