Provider Demographics
NPI:1821347048
Name:LAUVRAY, AMY MICHELE (CRNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MICHELE
Last Name:LAUVRAY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MICHELE
Other - Last Name:LAUVRAY HURLEBAUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:281 CAPE SAINT JOHN RD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7232
Mailing Address - Country:US
Mailing Address - Phone:704-437-4762
Mailing Address - Fax:
Practice Address - Street 1:2003 MEDICAL PKWY
Practice Address - Street 2:SUITE 400
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7992
Practice Address - Country:US
Practice Address - Phone:410-573-2530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRI88817363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health