Provider Demographics
NPI:1477884500
Name:PAPORTO, LAUREL OLGA (FMHNP)
Entity Type:Individual
Prefix:MRS
First Name:LAUREL
Middle Name:OLGA
Last Name:PAPORTO
Suffix:
Gender:F
Credentials:FMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 HAIGHT AVE.
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603
Mailing Address - Country:US
Mailing Address - Phone:845-485-3506
Mailing Address - Fax:845-452-7646
Practice Address - Street 1:514 HAIGHT AVE.
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603
Practice Address - Country:US
Practice Address - Phone:845-485-3506
Practice Address - Fax:845-452-7646
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY400663364SP0810X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No364SP0810XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & FamilyGroup - Multi-Specialty