Provider Demographics
NPI:1710087226
Name:QUARINO, LAURA MICHELE (NP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:MICHELE
Last Name:QUARINO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:BOLIVIA
Mailing Address - State:NC
Mailing Address - Zip Code:28422-0009
Mailing Address - Country:US
Mailing Address - Phone:910-253-2250
Mailing Address - Fax:910-253-2339
Practice Address - Street 1:25 COURTHOUSE DR
Practice Address - Street 2:
Practice Address - City:BOLIVIA
Practice Address - State:NC
Practice Address - Zip Code:28422-0009
Practice Address - Country:US
Practice Address - Phone:910-253-2250
Practice Address - Fax:910-253-2339
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0050-01305363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7004328Medicaid
NC2592751BMedicare PIN