Provider Demographics
NPI:1558808675
Name:CIAFARDONI, LORI E (DNS(C), RN, FNP)
Entity Type:Individual
Prefix:PROF
First Name:LORI
Middle Name:E
Last Name:CIAFARDONI
Suffix:
Gender:F
Credentials:DNS(C), RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 COMPUTER DR W
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-1679
Mailing Address - Country:US
Mailing Address - Phone:518-689-7548
Mailing Address - Fax:518-489-9431
Practice Address - Street 1:24 COMPUTER DR W
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1679
Practice Address - Country:US
Practice Address - Phone:518-689-7548
Practice Address - Fax:518-489-9431
Is Sole Proprietor?:No
Enumeration Date:2017-01-26
Last Update Date:2019-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY642650163W00000X
MA234061163W00000X
NYF344066363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse