Provider Demographics
NPI:1437346210
Name:LAMPHERE, MAUREEN ANNE (RN)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:ANNE
Last Name:LAMPHERE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:ANNE
Other - Last Name:PFEIFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4311 FIRESIDE CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-5119
Mailing Address - Country:US
Mailing Address - Phone:518-947-0539
Mailing Address - Fax:
Practice Address - Street 1:4311 FIRESIDE CT
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-5119
Practice Address - Country:US
Practice Address - Phone:518-947-0539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC142891163W00000X
NY462849-1163W00000X
FL9254768163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse