Provider Demographics
NPI:1073745287
Name:MCCARRON, LAURA W (NP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:W
Last Name:MCCARRON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:90 TER HEUN DR STE 301
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2533
Mailing Address - Country:US
Mailing Address - Phone:508-457-7922
Mailing Address - Fax:508-548-9853
Practice Address - Street 1:90 TER HEUN DR STE 301
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2533
Practice Address - Country:US
Practice Address - Phone:508-457-7922
Practice Address - Fax:508-548-9853
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2024-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA214489363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health