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Individual
LAUREN MARIE MIANULLI
Active
Individual
LAUREN MARIE MIANULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320992
NY
363L00000X
Nurse Practitioner
Primary
31147
SC
Other
Enumeration date
12/11/2014
Last updated
02/04/2026
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