Provider Demographics
NPI:1164645016
Name:LAUX, KIRSTEN A (NP)
Entity Type:Individual
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First Name:KIRSTEN
Middle Name:A
Last Name:LAUX
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Gender:F
Credentials:NP
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Mailing Address - Street 1:243 NORTH RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1172
Mailing Address - Country:US
Mailing Address - Phone:845-451-7251
Mailing Address - Fax:845-451-7757
Practice Address - Street 1:400 WESTAGE BUSINESS CTR DR
Practice Address - Street 2:SUITE 210
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2223
Practice Address - Country:US
Practice Address - Phone:845-838-8480
Practice Address - Fax:845-838-8474
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2015-04-23
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Provider Licenses
StateLicense IDTaxonomies
NYF333142363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02865438Medicaid
NY02865438Medicaid