Individual provider · Type 1 NPI

Laura Autumn De Leon

Nurse Practitioner · Mooresville, NC

NPI number 1548494792 Active

Practice location

133 Welton Way, Suite C
Mooresville, NC 28117-9163

Fax (704) 664-5382

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5006144 (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 1548494792

Laura Autumn De Leon's National Provider Identifier is 1548494792, issued on May 2, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mooresville, NC. The record was last updated on May 8, 2024.