Provider Demographics
NPI:1548718935
Name:MARBUN, LAURA (APRN)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:MARBUN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12229 S LEWIS DR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-8467
Mailing Address - Country:US
Mailing Address - Phone:620-870-1677
Mailing Address - Fax:
Practice Address - Street 1:12229 S LEWIS DR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-8467
Practice Address - Country:US
Practice Address - Phone:208-701-6776
Practice Address - Fax:913-543-4444
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-14
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSTMP-153381363LF0000X
KS53-77379-021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily