Individual
LAUREN LAURELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, RNFA
Contact information
Practice address
664 STONELEIGH AVE, SUITE 300, CARMEL, NY 10512-3940
(845) 278-8400
(845) 278-4323
Mailing address
664 STONELEIGH AVE, SUITE 300, CARMEL, NY 10512-3940
(845) 278-8400
(845) 278-4323
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
613197
NY
363LF0000X
Family Nurse Practitioner
339380
NY
363LF0000X
Family Nurse Practitioner
7613
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04155560
—
NY
Enumeration date
02/23/2015
Last updated
04/20/2023
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