Provider Demographics
NPI:1861370975
Name:APREA-ALTSTATT, LAURA (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:APREA-ALTSTATT
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11055 HANGING VINE DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-9764
Mailing Address - Country:US
Mailing Address - Phone:239-443-8650
Mailing Address - Fax:
Practice Address - Street 1:11055 HANGING VINE DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-9764
Practice Address - Country:US
Practice Address - Phone:239-443-8650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9383557163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant