Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 5008847 | NC |
NPI | 1003360405 |
---|---|
Provider Name | Mrs. Laura Hudson Werner |
First Address | Concord, NC 28025-2527 |
Second Address | Concord, NC 28027-7757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2016 |
Last Update Date | 25/08/2016 |