| Holly Laue, NP-C | |
|
2200 N Section St, Sullivan, IN 47882-7523 | |
| (812) 268-4311 | |
| (812) 268-6809 |
| Full Name | Holly Laue |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2200 N Section St, Sullivan, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255743076 | NPI | - | NPPES |
| 000000895639 | Other | IN | ANTHEM |
| 201234250 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71004904A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71004904A (Indiana) | Primary |
| Entity Name | Fc Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225579063 PECOS PAC ID: 8820360001 Enrollment ID: O20170823001260 |
| Entity Name | Sullivan County Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1447805965 PECOS PAC ID: 2466497482 Enrollment ID: O20200117000707 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491 |
| Entity Name | Sullivan County Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497363303 PECOS PAC ID: 2466497482 Enrollment ID: O20200831000591 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Laue, NP-C Po Box 10, Sullivan, IN 47882-0010 Ph: (812) 268-4311 | Holly Laue, NP-C 2200 N Section St, Sullivan, IN 47882-7523 Ph: (812) 268-4311 |
Mrs. Terri Lee Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882 Phone: 812-268-3318 | |
Jeanna Rennee Lisman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882 Phone: 812-268-3318 | |
Morgan Beard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 N Section St, Sullivan, IN 47882 Phone: 812-268-6292 | |
Mrs. Kelly Sue Evans, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2204 North Section Street, Sullivan, IN 47882 Phone: 812-268-2556 | |
Billie J Thurman, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 N Section St, Sullivan, IN 47882 Phone: 812-268-4311 Fax: 812-268-2609 | |
Kevin Braun Flinn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2120 N Section St, Sullivan, IN 47882 Phone: 812-268-4311 |