Provider Demographics
NPI:1891376844
Name:HARLOW, LAURA TERREBONNE (FNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:TERREBONNE
Last Name:HARLOW
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ELIZABETH
Other - Last Name:TERREBONNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3721 WETLAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-5858
Mailing Address - Country:US
Mailing Address - Phone:210-748-0249
Mailing Address - Fax:
Practice Address - Street 1:18900 LIMESTONE COMMERCIAL DR STE 600
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4525
Practice Address - Country:US
Practice Address - Phone:512-375-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1032499363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000000OtherN/A