Provider Demographics
NPI:1912521576
Name:FERREIRA, LAURA (ARNP FNP-BC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:ARNP FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11542 PINELOCH LOOP
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6457
Mailing Address - Country:US
Mailing Address - Phone:407-385-2464
Mailing Address - Fax:
Practice Address - Street 1:11542 PINELOCH LOOP
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6457
Practice Address - Country:US
Practice Address - Phone:407-385-2464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-29
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN1007276363L00000X
FLAPRN11007276363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner