Provider Demographics
NPI:1083010698
Name:HOUWERS, LAURA (APRN, PMHNP-BC, CNM)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:HOUWERS
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 S SHORE DR
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-5921
Mailing Address - Country:US
Mailing Address - Phone:770-467-3262
Mailing Address - Fax:
Practice Address - Street 1:184 JEFFERSON PKWY STE B
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-5822
Practice Address - Country:US
Practice Address - Phone:770-252-5290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN098532367A00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN098532OtherRN098523
FLAPRN11019004OtherBOARD OF NURSING FLORIDA