| Ms Laura Nicole Churchman, CPNP | |
|
11 S 4th St, Tipp City, OH 45371-1601 | |
| (937) 715-5406 | |
| (937) 506-0105 |
| Full Name | Ms Laura Nicole Churchman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 11 S 4th St, Tipp City, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497237754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN.CNP.0030562 (Ohio) | Primary |
| 363LP0200X | Nurse Practitioner - Pediatrics | RN.389456 (Ohio) | Secondary |
| Entity Name | Dayton Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952480030 PECOS PAC ID: 5496792418 Enrollment ID: O20050412000416 |
| Entity Name | Dayton Childrens Specialty Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Laura Nicole Churchman, CPNP 11 S 4th St, Tipp City, OH 45371-1601 Ph: (937) 715-5406 | Ms Laura Nicole Churchman, CPNP 11 S 4th St, Tipp City, OH 45371-1601 Ph: (937) 715-5406 |
Jennifer Julia Brewer, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 S Tippecanoe Dr Ste 3, Tipp City, OH 45371 Phone: 937-789-8546 | |
Vanessa Moore Salupo Wehrley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 70 Weller Dr Ste 100, Tipp City, OH 45371 Phone: 937-667-0400 Fax: 937-506-3991 | |
Sara Marietta, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 N Hyatt St Ste 202, Tipp City, OH 45371 Phone: 937-669-9978 Fax: 937-669-1266 | |
Mrs. Shannon Jacobs, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1483 W Main St, Tipp City, OH 45371 Phone: 937-667-7711 | |
Cindy Pogue, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 N Hyatt St, Tipp City, OH 45371 Phone: 937-669-9978 Fax: 937-669-1266 | |
Mrs. Rochelle Kathryn Watkins, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1483 W Main St, Tipp City, OH 45371 Phone: 937-667-7713 Fax: 937-667-8067 |