Provider Demographics
NPI:1356234561
Name:NAGORSKI, LAURA EDITH
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:EDITH
Last Name:NAGORSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 S WABASH AVE APT 321
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-7078
Mailing Address - Country:US
Mailing Address - Phone:402-224-0792
Mailing Address - Fax:
Practice Address - Street 1:203 E ELM ST
Practice Address - Street 2:
Practice Address - City:SUTTON
Practice Address - State:NE
Practice Address - Zip Code:68979-2223
Practice Address - Country:US
Practice Address - Phone:402-224-0792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant