Individual
KATHERINE ELISE LAURIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC, MSN
Contact information
Practice address
119A LAKE ST, JERSEY CITY, NJ 07306-3468
(732) 500-2936
Mailing address
119A LAKE ST, JERSEY CITY, NJ 07306-3468
(732) 500-2936
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F310236-01
NY
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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