Provider Demographics
NPI:1740723790
Name:SEALY, LAURA ELIZABETH (DNP, RN, CPHON, CPNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ELIZABETH
Last Name:SEALY
Suffix:
Gender:F
Credentials:DNP, RN, CPHON, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6701 FANNIN ST
Mailing Address - Street 2:SUITE 1580
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2608
Mailing Address - Country:US
Mailing Address - Phone:832-822-1568
Mailing Address - Fax:832-825-0285
Practice Address - Street 1:6701 FANNIN ST
Practice Address - Street 2:SUITE 1580
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2608
Practice Address - Country:US
Practice Address - Phone:832-822-1568
Practice Address - Fax:832-825-0285
Is Sole Proprietor?:No
Enumeration Date:2016-11-23
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP132583363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics