Provider Demographics
NPI:1568213965
Name:NAZZARINE, LAURA FRANCIS
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:FRANCIS
Last Name:NAZZARINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRANNY
Other - Middle Name:
Other - Last Name:NAZZARINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:500 S PRESTON ST # 305
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1702
Mailing Address - Country:US
Mailing Address - Phone:513-910-9587
Mailing Address - Fax:
Practice Address - Street 1:500 S PRESTON ST # 305
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1702
Practice Address - Country:US
Practice Address - Phone:513-910-9587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program