Provider Demographics
NPI:1205600277
Name:GAYHEART, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:GAYHEART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 1/2 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44090-1230
Mailing Address - Country:US
Mailing Address - Phone:614-632-8528
Mailing Address - Fax:
Practice Address - Street 1:224 1/2 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:OH
Practice Address - Zip Code:44090-1230
Practice Address - Country:US
Practice Address - Phone:614-632-8528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker