Provider Demographics
NPI:1407127707
Name:GIANNINOTO, LAURA A (APRN)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:A
Last Name:GIANNINOTO
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 1:32 STRAWBERRY HILL CT
Mailing Address - Street 2:SUITE 8
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-2594
Mailing Address - Country:US
Mailing Address - Phone:203-276-4513
Mailing Address - Fax:203-276-4259
Practice Address - Street 1:32 STRAWBERRY HILL CT
Practice Address - Street 2:SUITE 8
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2594
Practice Address - Country:US
Practice Address - Phone:203-276-4513
Practice Address - Fax:203-276-4259
Is Sole Proprietor?:No
Enumeration Date:2012-01-18
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily