Provider Demographics
NPI:1245412915
Name:LAMIRAND, GERTRUDIS (RN)
Entity Type:Individual
Prefix:MS
First Name:GERTRUDIS
Middle Name:
Last Name:LAMIRAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FARRAGUT RD
Mailing Address - Street 2:P.O.BOX 5373
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07062-1054
Mailing Address - Country:US
Mailing Address - Phone:908-222-0925
Mailing Address - Fax:
Practice Address - Street 1:1 FARRAGUT RD
Practice Address - Street 2:151 KNOLLCROFT RD LYONS, NJ 07939
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07062-1054
Practice Address - Country:US
Practice Address - Phone:908-222-0925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR10760600163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse