Whalio Doctors

NPI 1003832643

Laura Uphouse, CRNA

Practitioner Certified Registered Nurse Anesthetist Kennesaw, GA

Practice location

Address
1640 Airport Rd NW STE 110, Kennesaw, GA 30144-7038
Phone
(678) 202-2074
Fax
(770) 590-1442
Mailing address
1984 Peachtree Rd NW STE 515, Atlanta, GA 30309-5219

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 045698 (GA)

Registry record

NPI
1003832643
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Jul 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.