Provider Demographics
NPI:1215266598
Name:BARBUTO, LAURA MARIE (CNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MARIE
Last Name:BARBUTO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 YAUGER RD
Mailing Address - Street 2:AMERICAN HEALTH NETWORK OF OHIO
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-9233
Mailing Address - Country:US
Mailing Address - Phone:740-392-1171
Mailing Address - Fax:740-392-2987
Practice Address - Street 1:1220 YAUGER RD
Practice Address - Street 2:AMERICAN HEALTH NETWORK OF OHIO
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-9233
Practice Address - Country:US
Practice Address - Phone:740-392-1171
Practice Address - Fax:740-392-2987
Is Sole Proprietor?:No
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.308752-COA1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner