MRS. LAURA RAE DEMETER MORETTE (NPI# 1790938322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790938322 |
| Entity Type | Individual |
| Full Name | MRS. LAURA RAE DEMETER MORETTE |
| Credential | A.R.N.P. |
| Practice Address |
4860 Woodbine Rd Suite 1 & 2 Pace FL 32571-8709 |
| Practice Telephone | 8509958087 |
| Practice Fax Number | 8509945292 |
| Mailing Telephone | 8509958087 |
| Mailing Fax Number | 8509945292 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP 9203869 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ADVANCED REGISTERED NURSE PRACTITIONER | ARNP 9203869 | 01 |
| Street Address |
4860 WOODBINE RD SUITE 1 & 2 |
| City | PACE |
| State | FL |
| Zip Code | 32571-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164417275 | David A Hensley | Pediatrics | 4860 Woodbine Rd, Suite 1 & 2, Pace, FL 32571-8709 | 2005-09-14 |
| 1801098504 | Emerald Coast Pediatrics, P.a. | Specialist | 4860 Woodbine Rd, Suite 1 & 2, Pace, FL 32571-8709 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| Find all providers in zip 32571 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396256806 | Riley Mcdaniel | Nurse Practitioner | 5643 Flume Dr, Pace, FL 32571-6425 | 2017-10-24 |
| 1831577956 | Emily Lieser | Nurse Practitioner | 5565 Woodbine Rd, Pace, FL 32571 | 2015-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. LAURA RAE DEMETER MORETTE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.