Provider Demographics
NPI:1477752020
Name:LAUDANO, ANDREA JOY (APRN, MSN)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:JOY
Last Name:LAUDANO
Suffix:
Gender:F
Credentials:APRN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 WHITNEY AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3600
Mailing Address - Country:US
Mailing Address - Phone:203-230-4400
Mailing Address - Fax:203-230-4412
Practice Address - Street 1:2080 WHITNEY AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3600
Practice Address - Country:US
Practice Address - Phone:203-230-4400
Practice Address - Fax:203-230-4412
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003441363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ML1473595OtherDEA