Individual provider · Type 1 NPI
Laura Wilson Brack, NP
Nurse Practitioner · Charlotte, NC
Practice location
2001 Vail Ave, Ste 360
Charlotte, NC 28207-1248
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 940076 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1356337166
Laura Wilson Brack, NP's National Provider Identifier is 1356337166, issued on Sep 27, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.