Provider Demographics
NPI:1780191874
Name:NEHER, LAURIE A (APRN)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:A
Last Name:NEHER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3503 WALDEN RESERVE DR
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33566-0303
Mailing Address - Country:US
Mailing Address - Phone:813-546-3804
Mailing Address - Fax:
Practice Address - Street 1:500 S FLORIDA AVE STE 210
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-5252
Practice Address - Country:US
Practice Address - Phone:863-937-7067
Practice Address - Fax:863-937-7081
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2022-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9345854363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner