Provider Demographics
NPI:1427558204
Name:PINOU, LAURA LEIGH (CRNP)
Entity Type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:LEIGH
Last Name:PINOU
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W GERMANTOWN PIKE STE 101
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-4273
Mailing Address - Country:US
Mailing Address - Phone:610-233-3660
Mailing Address - Fax:
Practice Address - Street 1:700 W GERMANTOWN PIKE STE 101
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-4273
Practice Address - Country:US
Practice Address - Phone:610-233-3660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-18
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018497363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner