Provider Demographics
NPI:1184348963
Name:MACEACHERN, LAURIE (BSN, RN, SRNA, CCRN)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:MACEACHERN
Suffix:
Gender:F
Credentials:BSN, RN, SRNA, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 NORWOOD ST
Mailing Address - Street 2:
Mailing Address - City:MONT CLARE
Mailing Address - State:PA
Mailing Address - Zip Code:19453-5068
Mailing Address - Country:US
Mailing Address - Phone:610-506-5704
Mailing Address - Fax:
Practice Address - Street 1:110 NORWOOD ST
Practice Address - Street 2:
Practice Address - City:MONT CLARE
Practice Address - State:PA
Practice Address - Zip Code:19453-5068
Practice Address - Country:US
Practice Address - Phone:610-506-5704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program