Provider Demographics
NPI:1376654962
Name:STANNARD, LAURA A (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:A
Last Name:STANNARD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:A
Other - Last Name:CARPENTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:10 S POINTE LNDG STE 250
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-3483
Mailing Address - Country:US
Mailing Address - Phone:585-426-4084
Mailing Address - Fax:585-426-4631
Practice Address - Street 1:10 S POINTE LNDG
Practice Address - Street 2:SUITE 250
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14606-3481
Practice Address - Country:US
Practice Address - Phone:585-426-4084
Practice Address - Fax:585-426-4631
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334945363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily