Provider Demographics
NPI:1699047258
Name:LAUREANO, TOMORROW (FNP)
Entity type:Individual
Prefix:
First Name:TOMORROW
Middle Name:
Last Name:LAUREANO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 WILD PETUNIA WAY
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4101
Mailing Address - Country:US
Mailing Address - Phone:512-626-1490
Mailing Address - Fax:
Practice Address - Street 1:910 WILD PETUNIA WAY
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4101
Practice Address - Country:US
Practice Address - Phone:512-626-1490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-29
Last Update Date:2012-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX664632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily