# DARIA ANN LAURSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669773925
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F402107-1 | NY | Yes |

## Other

- **Enumeration date:** 11/03/2010
- **Last updated:** 09/27/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000428405001 | BLUESHIELD OF NORTHEASTERN NY | — |
| 05 | — | 402107 | — | NY |
| 05 | — | 544623 | — | NY |
| 01 | — | J400347768 | MEDICARE | NY |
| 01 | — | P01772165 | MEDICARE RAILROAD | NY |