Provider Demographics
NPI:1144834789
Name:NIX, LAURA HUBER (ARPN, NP-C)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:HUBER
Last Name:NIX
Suffix:
Gender:F
Credentials:ARPN, NP-C
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:KRISTEN
Other - Last Name:HUBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:165 BLUE RIDGE OVERLOOK
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30513-4431
Mailing Address - Country:US
Mailing Address - Phone:706-946-5608
Mailing Address - Fax:706-374-7628
Practice Address - Street 1:500 GREEN RD
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:GA
Practice Address - Zip Code:30705-2745
Practice Address - Country:US
Practice Address - Phone:706-517-2200
Practice Address - Fax:706-517-2469
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN224064363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily