LAURA M MCDONALD APRN NPI 1366637183

NPI Information

  • NPI: 1366637183
  • Provider Name: LAURA M MCDONALD, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3883 AIRWAY DR STE 202
    SANTA ROSA, CA
    ZIP 95403
  • Phone: (707) 303-3600

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NPI Details

Laura M Mcdonald, APRN is a family nurse practitioner in Santa Rosa, CA. Laura M Mcdonald, APRN NPI is 1366637183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3883 AIRWAY DR STE 202
SANTA ROSA, CA
ZIP 95403-671
Phone: (707) 303-3600

The NPI 1366637183 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2007 and was last updated on 7/25/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily003676CONNECTICUTNo
2363LF0000XNurse PractitionerFamily20461CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004236346MEDICAIDCONNECTICUT
2680365296OTHERCALIFORNIAPROVIDER TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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