Provider Demographics
NPI:1811592561
Name:OREGEL, LAURA (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:OREGEL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1429 COLLEGE AVE STE H
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-4046
Mailing Address - Country:US
Mailing Address - Phone:209-497-4677
Mailing Address - Fax:209-300-7172
Practice Address - Street 1:1429 COLLEGE AVE STE H
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4046
Practice Address - Country:US
Practice Address - Phone:209-497-4677
Practice Address - Fax:209-300-7172
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014384363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily