Provider Demographics
NPI:1013490127
Name:HUA, LAURA ANN (CNP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:HUA
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ANN
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1417 S. CLIFF AVE
Mailing Address - Street 2:PLAZA 1 SUITE 010
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-0988
Mailing Address - Country:US
Mailing Address - Phone:605-322-3600
Mailing Address - Fax:605-322-3665
Practice Address - Street 1:1417 S. CLIFF AVE
Practice Address - Street 2:SUITE 010 PLAZA 1
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105
Practice Address - Country:US
Practice Address - Phone:605-322-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP001434363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily