Provider Demographics
NPI:1851483739
Name:ORFANELLI, LAURA A (CRNP, MSN)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:A
Last Name:ORFANELLI
Suffix:
Gender:F
Credentials:CRNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 LIEDS RD
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-4836
Mailing Address - Country:US
Mailing Address - Phone:610-931-6923
Mailing Address - Fax:
Practice Address - Street 1:34TH STREET & CIVIC CENTER BOULEVARD
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4399
Practice Address - Country:US
Practice Address - Phone:267-426-6824
Practice Address - Fax:215-590-1340
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP006704N363LP0200X
DEL10032073363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4003063Medicaid
NJ0025216Medicaid
P71731Medicare UPIN
013713T34Medicare PIN