Provider Demographics
NPI:1932810793
Name:LAUER, FAITH MICHELLE (FNP)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:MICHELLE
Last Name:LAUER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1733
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21802-1733
Mailing Address - Country:US
Mailing Address - Phone:410-742-8732
Mailing Address - Fax:410-548-5080
Practice Address - Street 1:38552 SUSSEX HWY # 101
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:DE
Practice Address - Zip Code:19940-3596
Practice Address - Country:US
Practice Address - Phone:302-297-2583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR105878163WH1000X
DELG-0012275363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WH1000XNursing Service ProvidersRegistered NurseHospice