NPI | 1821537085 |
---|---|
Former Name | LAUREN NICOLE CERULLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2320498) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 703005) |
363L00000X Nurse Practitioner (Licence: CT 7626) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7626) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: CT 7626) | |
Enumeration Date | 2017-02-20 |
Last Update Date | 2023-08-31 |