Provider Demographics
NPI:1861567323
Name:WARD, LAURA N (NP)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:N
Last Name:WARD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-4825
Mailing Address - Country:US
Mailing Address - Phone:401-245-2291
Mailing Address - Fax:
Practice Address - Street 1:13 BROWN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02912
Practice Address - Country:US
Practice Address - Phone:401-863-3475
Practice Address - Fax:401-863-7892
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN00497363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
S62428Medicare UPIN