Provider Demographics
NPI:1720310436
Name:FERRARO, LAURIE ANN (RN, GNP)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:ANN
Last Name:FERRARO
Suffix:
Gender:F
Credentials:RN, GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4509 NORMAN TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1154
Mailing Address - Country:US
Mailing Address - Phone:512-225-6345
Mailing Address - Fax:512-692-5205
Practice Address - Street 1:4509 NORMAN TRL
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1154
Practice Address - Country:US
Practice Address - Phone:512-225-6345
Practice Address - Fax:512-692-5205
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX690576363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology