Individual
LAURIE JEAN DECIANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
61 S MAIN ST STE 312, WEST HARTFORD, CT 06107-2403
(860) 247-2530
(860) 524-7727
Mailing address
30 JORDAN LN STE 3, WETHERSFIELD, CT 06109-1244
(860) 263-0253
(860) 263-0262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9187
CT
363LF0000X
Family Nurse Practitioner
Primary
009187
CT
Other
Enumeration date
09/22/2020
Last updated
11/19/2025
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