Provider Demographics
NPI:1255035259
Name:LAURA C STANKOVIC FNP-C, PLLC
Entity type:Organization
Organization Name:LAURA C STANKOVIC FNP-C, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:C
Authorized Official - Last Name:STANKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:725-245-9320
Mailing Address - Street 1:806 BUCHANAN BLVD # 115-282
Mailing Address - Street 2:
Mailing Address - City:BOULDER CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89005-2130
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:806 BUCHANAN BLVD # 115-282
Practice Address - Street 2:
Practice Address - City:BOULDER CITY
Practice Address - State:NV
Practice Address - Zip Code:89005-2130
Practice Address - Country:US
Practice Address - Phone:725-245-9320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAURA C STANKOVIC FNP-C, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty