Provider Demographics
NPI:1548782824
Name:LAUER, MARIA A (CRNP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:LAUER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:A
Other - Last Name:NOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8200 FLOURTOWN AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:WYNDMOOR
Mailing Address - State:PA
Mailing Address - Zip Code:19038-7969
Mailing Address - Country:US
Mailing Address - Phone:215-247-2292
Mailing Address - Fax:215-247-6885
Practice Address - Street 1:8200 FLOURTOWN AVE STE 4
Practice Address - Street 2:
Practice Address - City:WYNDMOOR
Practice Address - State:PA
Practice Address - Zip Code:19038-7969
Practice Address - Country:US
Practice Address - Phone:215-247-2292
Practice Address - Fax:215-247-6885
Is Sole Proprietor?:No
Enumeration Date:2017-07-09
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017593363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily