Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura L Wavra, NP

Individual provider Family Nurse Practitioner · NPI 1003876434

Laura L Wavra, NP is a Nurse Practitioner in West Lafayette, Indiana. Qualified in 2003, 23 years ago. Practices with Randall Dermatology, PC, a 10-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
23
Licensed in
IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

124 Sagamore Pkwy W
West Lafayette, IN 47906-1569
Phone: (765) 463-6722
Fax: (765) 463-0905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71001832A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71001832A (IN)

Record details

NPI number1003876434
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Randall Dermatology, Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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