Laursen, Daria Ann
Laursen, Daria Ann is an individual health care provider with primary practice located at 3043 State Route 4 , Hudson Falls NY 12839-9632. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Laursen, Daria Ann can be contacted via phone (518) 747-8243.Contact Information
Primary practice address
3043 State Route 4
Hudson Falls NY 12839-9632
Phone: (518) 747-8243
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | F402107-1 | New York |
Profile Details
| NPI number | 1669773925 |
|---|---|
| LBN Legal business name | Laursen, Daria Ann |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2010 |
| Last updated | Sep 27th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669773925 | NPPES |
| Other | 000428405001 | BLUESHIELD OF NORTHEASTERN NY | |
| Other | P01772165 | BLUESHIELD OF NORTHEASTERN NY | |
| Other | J400347768 | BLUESHIELD OF NORTHEASTERN NY | |
| MEDICAID | 544623 | BLUESHIELD OF NORTHEASTERN NY | |
| MEDICAID | 402107 | BLUESHIELD OF NORTHEASTERN NY |
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