Provider Demographics
NPI:1386390706
Name:STENSLAND, LAURA MARIE (ARNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MARIE
Last Name:STENSLAND
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21923 US HIGHWAY 65
Mailing Address - Street 2:
Mailing Address - City:COLO
Mailing Address - State:IA
Mailing Address - Zip Code:50056-8547
Mailing Address - Country:US
Mailing Address - Phone:515-689-7479
Mailing Address - Fax:
Practice Address - Street 1:21923 US HIGHWAY 65
Practice Address - Street 2:
Practice Address - City:COLO
Practice Address - State:IA
Practice Address - Zip Code:50056-8547
Practice Address - Country:US
Practice Address - Phone:515-689-7479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA167082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily