Provider Demographics
NPI:1447709324
Name:CORD, LAURA JOANNA (RN)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:JOANNA
Last Name:CORD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 E PATRIOT BLVD # N275
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-1290
Mailing Address - Country:US
Mailing Address - Phone:916-647-2666
Mailing Address - Fax:
Practice Address - Street 1:530 E PATRIOT BLVD # N275
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1290
Practice Address - Country:US
Practice Address - Phone:916-647-2666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN83093163W00000X
CA525663163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse