Provider Demographics
NPI:1831812502
Name:MINOR, LAURA LEE (CRNP, FNP-BC, LMT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LEE
Last Name:MINOR
Suffix:
Gender:F
Credentials:CRNP, FNP-BC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7828 HANOVER PKWY APT T1
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2606
Mailing Address - Country:US
Mailing Address - Phone:202-486-2881
Mailing Address - Fax:
Practice Address - Street 1:7828 HANOVER PKWY APT T1
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2606
Practice Address - Country:US
Practice Address - Phone:202-486-2881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR239546163W00000X, 363LF0000X
MDM06155225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist