Provider Demographics
NPI:1063785186
Name:MARKS, LAURA STUTTS (WHNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:STUTTS
Last Name:MARKS
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 843200
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-3200
Mailing Address - Country:US
Mailing Address - Phone:910-417-3477
Mailing Address - Fax:910-417-3899
Practice Address - Street 1:110 MEDICAL CIR
Practice Address - Street 2:SUITE A
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-5220
Practice Address - Country:US
Practice Address - Phone:910-417-3477
Practice Address - Fax:910-417-3899
Is Sole Proprietor?:No
Enumeration Date:2012-02-21
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC117250363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health