Provider Demographics
NPI:1356596365
Name:PINZON, LAURA BERNADINE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:BERNADINE
Last Name:PINZON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 ALT US 27 S
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-4973
Mailing Address - Country:US
Mailing Address - Phone:863-471-1300
Mailing Address - Fax:863-471-1315
Practice Address - Street 1:2950 ALT US 27 S
Practice Address - Street 2:SUITE A
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-4973
Practice Address - Country:US
Practice Address - Phone:863-471-1300
Practice Address - Fax:863-471-1315
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3331822363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care