Individual
LAUREN E DRYSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
166 W BROAD ST, SUITE 104, STAMFORD, CT 06902-3661
(203) 276-4404
(203) 276-4405
Mailing address
166 W BROAD ST, SUITE 104, STAMFORD, CT 06902-3661
(203) 276-4404
(203) 276-4405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003371
CT
363LA2200X
Adult Health Nurse Practitioner
F304189
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3371
CT APRN LICENSURE
CT
01
—
38840
DEP OF CONSUMER PROTECTIO
CT
Enumeration date
03/06/2007
Last updated
03/07/2023
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