Most Relevant Information
Provider Data
| NPI Number: | 1003490038 |
| Provider Name: | STEPHANIE LAURIA MSN, APRN, FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704300481 |
Most Important Dates
| Enumeration Date: | 05/06/2021 |
| Last Updated: | 05/10/2021 |
Provider Practice Location
1135 N OLD 27
GRAYLING
MI
497389777
Practice Location Phone/Fax
| Phone: | 9893443540 |
| Fax: |
Provider Mailing Location
1135 N OLD 27
GRAYLING
MI
497389777
Provider Mailing Phone/Fax
| Phone: | 9893443540 |
| Fax: |