LAURA MYERS HIERONYMUS C.A.N.P. NPI 1922290790

NPI Information

NPI: 1922290790
Provider Name: LAURA MYERS HIERONYMUS, C.A.N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1700 MISHAWAKA AVE
STUDENT ACTIVITY CENTER RM 130
SOUTH BEND, IN
ZIP 46634
Phone: (574) 250-5557
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Laura Myers Hieronymus, C.A.N.P. is an adult health nurse practitioner in South Bend, IN. Laura Myers Hieronymus, C.A.N.P. NPI is 1922290790. 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:

1700 MISHAWAKA AVE
STUDENT ACTIVITY CENTER RM 130
SOUTH BEND, IN
ZIP 46634-111
Phone: (574) 250-5557
Fax: (574) 520-5042

The enumeration date for this NPI number is 8/15/2007 and was last updated on 8/15/2007.

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
1	363LA2200X	Nurse Practitioner	Adult Health	NP02577	OHIO	Yes

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: 4/28/2024

NPI Synchronization or Removal

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