Provider Demographics
NPI:1689867855
Name:DENNSTEDT, LAURIE JEAN (RN, CRNA)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:JEAN
Last Name:DENNSTEDT
Suffix:
Gender:F
Credentials:RN, CRNA
Other - Prefix:MISS
Other - First Name:LAURIE
Other - Middle Name:JEAN
Other - Last Name:VOLKMUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:601 ELMWOOD AVENUE ANESTHESIOLOGY BOX 607
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-368-8503
Mailing Address - Fax:
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-2215
Practice Address - Country:US
Practice Address - Phone:585-368-8503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY544608-1163W00000X, 367500000X
NY544608367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse