Provider Demographics
NPI:1134152887
Name:LAUNDY, JOAN P (MSN, FNP, CNM)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:P
Last Name:LAUNDY
Suffix:
Gender:F
Credentials:MSN, FNP, CNM
Other - Prefix:MRS
Other - First Name:JOAN
Other - Middle Name:P
Other - Last Name:DELACY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP, CNM
Mailing Address - Street 1:FILE # 54433
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10666 N TORREY PINES RD
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1027
Practice Address - Country:US
Practice Address - Phone:858-554-5530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW1273367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABU555ZMedicare PIN