LAURA MANCUSO

EMPACT- SUICIDE PREVENTION CENTER

Dr LAURA MANCUSO is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

EMPACT- SUICIDE PREVENTION CENTER

11518 E APACHE TRL
SUITE 129
APACHE JUNCTION
AZ
851203572

Tel: 4807841514

LAURA MANCUSO Information

Npi 1699184432
Pac Id 4183989536
Professional Enrollment Id I20180605003470
Last Name MANCUSO
First Name LAURA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EMPACT- SUICIDE PREVENTION CENTER
Group Practice Pac Id 2365416575
Number Of Group Practice Members 25
Line 1 Street Address 11518 E APACHE TRL
Line 2 Street Address SUITE 129
Marker Of Address Line 2 Suppression
City APACHE JUNCTION
State AZ
Zip Code 851203572
Phone Number 4807841514
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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