Provider Demographics
NPI:1932120342
Name:ZEITLIN, LAURIE (MSN, ARNP, PMHCNS-BC)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:
Last Name:ZEITLIN
Suffix:
Gender:F
Credentials:MSN, ARNP, PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7252 NW 61ST TER
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3314
Mailing Address - Country:US
Mailing Address - Phone:954-753-2822
Mailing Address - Fax:954-625-8761
Practice Address - Street 1:9800 WEST COMMERCIAL BLVD.
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351
Practice Address - Country:US
Practice Address - Phone:954-475-5500
Practice Address - Fax:954-625-8761
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3112692363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health