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Laurie M. Staub, NP
Family Nurse Practitioner in Gainesville, Georgia
NPI 1790730042

Laurie M. Staub is a Family Nurse Practitioner based in Gainesville, GA and is specialized in Family. Laurie M. Staub practices in Gainesville, GA and has the professional credentials of NP. The NPI Number for Laurie M. Staub is 1790730042 and holds a License No. R081873 (Georgia).

The current practice location address for Laurie M. Staub is 725 Jesse Jewell Pkwy Se, Gainesville, GA and can be reached out via phone at 770-534-1986 and via fax at 770-297-5645. You can also correspond with Laurie M. Staub through the mailing address at PO BOX 658, GAINESVILLE, GA - 30503-0658 (mailing address contact number: 770-718-1122).

Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
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Provider Profile Details
NPI Number
1790730042
Provider Name
Laurie M. Staub
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
725 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
Phone Number
770-534-1986
Fax Number
770-297-5645
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500020776 01 GA RR MEDICARE-GRP # CC4177
000706384A 05 GA
10053490 01 GA AMERIGROUP
335920 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
725 Jesse Jewell Pkwy Se
City
State
Zip
30501-3834
Phone Number
770-534-1986
Fax Number
770-297-5645
person
Provider Business Mailing Address Details
Address
725 Jesse Jewell Pkwy Se
City
State
Zip
30501-3834
Phone Number
770-534-1986
Fax Number
770-297-5645
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R081873 (Georgia)
Definition
Definition to come...
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