Individual
LAURIE ANN FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
107 INSTITUTE ST # NA, JAMESTOWN, NY 14701-6628
(716) 484-4334
Mailing address
107 INSTITUTE ST # NA, JAMESTOWN, NY 14701-6628
(716) 484-4334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
574957-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F401506
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP014720
PA
Other
Enumeration date
03/22/2012
Last updated
07/16/2024
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