Provider Demographics
NPI:1861217937
Name:SOWERS, LAURA ANN (FNP -BC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:SOWERS
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 1:3404 OTTAWA CIR
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-9785
Mailing Address - Country:US
Mailing Address - Phone:937-570-6681
Mailing Address - Fax:
Practice Address - Street 1:851 JACKSON ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1277
Practice Address - Country:US
Practice Address - Phone:937-670-2870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-22
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0037834363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care