Provider Demographics
NPI:1295552610
Name:PRZYBYLOWSKI, LAURA (DNP, APN, PMHNP)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:PRZYBYLOWSKI
Suffix:
Gender:F
Credentials:DNP, APN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 ROCKY BROOK RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-3039
Mailing Address - Country:US
Mailing Address - Phone:848-218-2884
Mailing Address - Fax:
Practice Address - Street 1:79 E RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:JAMESBURG
Practice Address - State:NJ
Practice Address - Zip Code:08831-1207
Practice Address - Country:US
Practice Address - Phone:732-561-8555
Practice Address - Fax:732-561-1165
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15122700363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health