Provider Demographics
NPI:1982336533
Name:DAY, LAURA (FNP-BC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 MARTIN PALMER DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31523-8285
Mailing Address - Country:US
Mailing Address - Phone:912-567-6660
Mailing Address - Fax:501-468-0490
Practice Address - Street 1:140 MARTIN PALMER DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31523-8285
Practice Address - Country:US
Practice Address - Phone:912-567-6660
Practice Address - Fax:501-468-0490
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN297918363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner