Provider Demographics
NPI:1518031806
Name:ANGELERI, LAURA (RN,NP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ANGELERI
Suffix:
Gender:F
Credentials:RN,NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10261 N 92ND ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4502
Mailing Address - Country:US
Mailing Address - Phone:480-443-4437
Mailing Address - Fax:480-443-4525
Practice Address - Street 1:10261 N 92ND ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4502
Practice Address - Country:US
Practice Address - Phone:480-443-4437
Practice Address - Fax:480-443-4525
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN042824363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ174400000XOtherTAXONOMIES