Laura L Wavra (NPI# 1003876434, PAC ID# 8628021839) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003876434 |
| PAC ID by PECOS | 8628021839 |
| Professional Enrollment ID | I20050301000042 |
| Full Name | Laura L Wavra |
| Organization Legal Name | RANDALL DERMATOLOGY, PC |
| Address |
1351 S Jackson St Frankfort IN 46041-3314 |
| Phone Number | 7656593330 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678675329 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1351 S Jackson St, Frankfort, IN 46041-3314 | 7656593330 | RANDALL DERMATOLOGY, PC |
| 124 Sagamore Pkwy W, West Lafayette, IN 47906-1569 | 7654636722 | RANDALL DERMATOLOGY, PC |
| 201 N Union St, Westfield, IN 46074-9405 | 3178049426 | RANDALL DERMATOLOGY, PC |
| Organization Legal Name | RANDALL DERMATOLOGY, PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay S Wilson | Nurse Practitioner | Randall Dermatology, PC | 124 Sagamore Pkwy W, West Lafayette, IN 47906-1569 |
| Phillip T Deturk | Nurse Practitioner | Randall Dermatology, PC | 620 S Berkley Rd, Kokomo, IN 46902-5144 |
| Bradley C Hurliman | Physician Assistant | Randall Dermatology, PC | 1351 S Jackson St, Frankfort, IN 46041-3314 |
| Katrina N Masterson | Nurse Practitioner | Randall Dermatology, PC | 1351 S Jackson St, Frankfort, IN 46041-3314 |
| John K Randall | Dermatology | Randall Dermatology, PC | 620 S Berkley Rd, Kokomo, IN 46902-5144 |
| Mark Manning | Nurse Practitioner | Randall Dermatology, PC | 124 Sagamore Pkwy W, West Lafayette, IN 47906-1569 |
| Theresa E Coyner | Nurse Practitioner | Randall Dermatology, PC | 1351 S Jackson St, Frankfort, IN 46041-3314 |
| Holly Nicole Howe | Nurse Practitioner | Randall Dermatology, PC | 1351 S Jackson St, Frankfort, IN 46041-3314 |
| Street Address |
1351 S JACKSON ST |
| City | FRANKFORT |
| State | IN |
| Zip | 46041-3314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley C Hurliman | Physician Assistant | Randall Dermatology, PC | 1351 S Jackson St, Frankfort, IN 46041-3314 |
| Katrina N Masterson | Nurse Practitioner | Randall Dermatology, PC | 1351 S Jackson St, Frankfort, IN 46041-3314 |
| Theresa E Coyner | Nurse Practitioner | Randall Dermatology, PC | 1351 S Jackson St, Frankfort, IN 46041-3314 |
| Holly Nicole Howe | Nurse Practitioner | Randall Dermatology, PC | 1351 S Jackson St, Frankfort, IN 46041-3314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith A Brehob | Clinical Social Worker | Valley Oaks Health Inc | 357 N Columbia St, Frankfort, IN 46041-1635 |
| Sirrena Piercy | Psychologist, Clinical | Valley Oaks Health Inc | 357 N Columbia St, Frankfort, IN 46041-1635 |
| Amber L Schleman | Clinical Social Worker | Valley Oaks Health Inc | 357 N Columbia St, Frankfort, IN 46041-1635 |
| Gail C Faust | Nurse Practitioner | Valley Oaks Health Inc | 357 N Columbia St, Frankfort, IN 46041-1635 |
| Greg Hostetler | Clinical Social Worker | Community Howard Regional Health Inc | 205 N Jackson St, Frankfort, IN 46041-1936 |
| Danielle Majors | Clinical Social Worker | Community Howard Regional Health Inc | 205 N Jackson St, Frankfort, IN 46041-1936 |
| John F Schiltz | Psychiatry | Community Howard Regional Health Inc | 205 N Jackson St, Frankfort, IN 46041-1936 |
| Greg P Edie | Clinical Social Worker | Community Howard Regional Health Inc | 205 N Jackson St, Frankfort, IN 46041-1936 |
| Laura Graefnitz | Clinical Social Worker | Community Howard Regional Health Inc | 205 N Jackson St, Frankfort, IN 46041-1936 |
| Marjo A Doyle | Nurse Practitioner | Community Howard Regional Health Inc | 205 N Jackson St, Frankfort, IN 46041-1936 |
| Find all physicians in zip 46041 | |||
| City | FRANKFORT |
| Zip Code | 46041 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FRANKFORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Laura L Wavra.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.