Provider Demographics
NPI:1962385351
Name:STRAIT, LAURA J (RN)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:STRAIT
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 1:3303 ORCHARD VISTA DR SE
Mailing Address - Street 2:STE 307
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-7777
Mailing Address - Country:US
Mailing Address - Phone:616-438-9902
Mailing Address - Fax:
Practice Address - Street 1:3033 ORCHARD VISTA DR SE STE 307
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-7077
Practice Address - Country:US
Practice Address - Phone:616-438-9902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704234247163WC0400X, 163WG0600X, 163WH0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WH0200XNursing Service ProvidersRegistered NurseHome Health