Provider Demographics
NPI:1487292975
Name:CLOAR, LAURA NASH (MSN, RN, FNP-BC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:NASH
Last Name:CLOAR
Suffix:
Gender:F
Credentials:MSN, RN, FNP-BC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:SELENE
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:4715 KING GEORGE WAY APT 904
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-4583
Mailing Address - Country:US
Mailing Address - Phone:731-363-0915
Mailing Address - Fax:
Practice Address - Street 1:4715 KING GEORGE WAY APT 904
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-4583
Practice Address - Country:US
Practice Address - Phone:731-363-0915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-15
Last Update Date:2019-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26945363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily