Individual provider · Type 1 NPI

Laura Marie Pavelka, ANP-C

Adult Health Nurse Practitioner · Richardson, TX

NPI number 1073614830 Active

Practice location

630 N Coit Rd, Suite 2200
Richardson, TX 75080-3700

Call (214) 389-7355 Map

Fax (214) 389-7435

Mailing address

3249 Heatherbrook Ln
Richardson, TX 75082-2695

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	693670 (TX)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1073614830

Laura Marie Pavelka, ANP-C's National Provider Identifier is 1073614830, issued on Sep 26, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Richardson, TX. The record was last updated on Jul 8, 2007.