Provider Demographics
NPI:1033568217
Name:PAMBIANCHI, LAUREN (APRN, RN, MSN, CPNP)
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:
Last Name:PAMBIANCHI
Suffix:
Gender:F
Credentials:APRN, RN, MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 ELEVEN LEVELS RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-3038
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:49 ELEVEN LEVELS RD
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-3038
Practice Address - Country:US
Practice Address - Phone:203-313-7395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT173106163W00000X
NY382726363LP0200X
NY704368-1163W00000X
CT009029363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse