Provider Demographics
NPI:1336299916
Name:KRAMER, LAURA ANN (APRN)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:KRAMER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 W AVON RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-3534
Mailing Address - Country:US
Mailing Address - Phone:860-404-0463
Mailing Address - Fax:860-404-0472
Practice Address - Street 1:80 W AVON RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3534
Practice Address - Country:US
Practice Address - Phone:860-404-0463
Practice Address - Fax:860-404-0472
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000862363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health