Provider Demographics
NPI:1649654823
Name:HIGH, LAURA MICHELLE (FNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MICHELLE
Last Name:HIGH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 CAMDEN CIR APT 202
Mailing Address - Street 2:
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-6002
Mailing Address - Country:US
Mailing Address - Phone:304-881-2203
Mailing Address - Fax:
Practice Address - Street 1:217 CAMDEN CIR APT 202
Practice Address - Street 2:
Practice Address - City:SCOTT DEPOT
Practice Address - State:WV
Practice Address - Zip Code:25560-6002
Practice Address - Country:US
Practice Address - Phone:304-881-2203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN77958363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily