Laura Droege, NP
Nurse Practitioner, Family in Mishawaka, IN. Individual provider (NPI-1).
NPI number1174174635
StatusActive
Last updated in NPPESOct 8, 2019
Details
- NPI
- 1174174635
- Entity type
- Individual (NPI-1)
- Name
- Laura Droege
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2019
- Last updated
- Oct 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71009469A | IN | Yes |
| 163W00000X | Registered Nurse | 201805230RN | OR |
Other names
- Laura Goodale (Former Name)
Practice location
5215 Holy Cross PkwyMishawaka, IN 46545-1469
Phone 574-335-5000
Mailing address
5215 Holy Cross PkwyMishawaka, IN 46545-1469
Phone 574-335-5000
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