Provider Demographics
NPI:1760930614
Name:HALPA, LAURA TORIBIO (NP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:TORIBIO
Last Name:HALPA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:TORIBIO
Other - Last Name:HALPA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:105 NADINE DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-2866
Mailing Address - Country:US
Mailing Address - Phone:585-857-2568
Mailing Address - Fax:
Practice Address - Street 1:1384 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-1874
Practice Address - Country:US
Practice Address - Phone:585-857-2568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340308-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner