Provider Demographics
NPI:1215400601
Name:SHEPHERD, LAURA (FNP-C)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SHEPHERD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:STRANSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:25402 NORTHWEST FWY STE 101
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8685
Mailing Address - Country:US
Mailing Address - Phone:281-304-1100
Mailing Address - Fax:281-256-9105
Practice Address - Street 1:25402 NORTHWEST FWY STE 101
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8685
Practice Address - Country:US
Practice Address - Phone:281-304-1100
Practice Address - Fax:281-256-0205
Is Sole Proprietor?:No
Enumeration Date:2019-01-08
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137893363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily