Laura Autumn De Leon, | |
133 Welton Way, Suite C, Mooresville, NC 28117-9163 | |
(704) 664-2552 | |
(704) 664-5382 |
Full Name | Laura Autumn De Leon |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 133 Welton Way, Mooresville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548494792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5006144 (North Carolina) | Primary |
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | Nh Digital Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427683044 PECOS PAC ID: 9537588934 Enrollment ID: O20201005002074 |
Mailing Address | Practice Location Address |
---|---|
Laura Autumn De Leon, Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 664-2552 | Laura Autumn De Leon, 133 Welton Way, Suite C, Mooresville, NC 28117-9163 Ph: (704) 664-2552 |
Erin Abbey Gray, FPN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd, Suite # 303, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-696-2929 | |
Marykay Holt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101 | |
Mrs. Deborah O'neil Speaks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 559 River Hwy, Mooresville, NC 28117 Phone: 704-663-3438 | |
Kristin Lea Rice, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Medical Park Rd Ste 200, Mooresville, NC 28117 Phone: 704-696-2085 | |
Amy Andersen Bush, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd Ste 101, Mooresville, NC 28117 Phone: 980-302-7070 Fax: 980-302-7075 | |
Dawn Marie Cahn, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 137 Shavender Dr, Mooresville, NC 28117 Phone: 203-856-0745 | |
Elizabeth Rudisill Hayes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Argus Ln Ste G, Mooresville, NC 28117 Phone: 704-660-4362 Fax: 704-660-0442 |