Provider Demographics
NPI:1063233815
Name:AYERS, LAURA M (ARNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:M
Last Name:AYERS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 NORTH AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-1613
Mailing Address - Country:US
Mailing Address - Phone:712-796-2545
Mailing Address - Fax:712-847-6095
Practice Address - Street 1:103 NORTH AVE STE 8
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-1613
Practice Address - Country:US
Practice Address - Phone:712-796-2545
Practice Address - Fax:712-847-6095
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA181498363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily