Provider Demographics
NPI:1629264668
Name:LAURIA, CHRIS-ANN (APNP)
Entity Type:Individual
Prefix:
First Name:CHRIS-ANN
Middle Name:
Last Name:LAURIA
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 HOMER ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-3231
Mailing Address - Country:US
Mailing Address - Phone:612-426-3771
Mailing Address - Fax:651-846-5584
Practice Address - Street 1:1145 HOMER ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-3231
Practice Address - Country:US
Practice Address - Phone:612-426-3771
Practice Address - Fax:651-846-5584
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3174-033363L00000X
MNCNP4999363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner