Individual
LAURA ARDILA
Active
Individual
LAURA ARDILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN2306576
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2306576
MA
363LG0600X
Gerontology Nurse Practitioner
310768
NY
Other
Enumeration date
01/25/2018
Last updated
12/06/2023
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