Provider Demographics
NPI:1386201747
Name:LAMPREA-DURAN, GLORIA (FNP)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:
Last Name:LAMPREA-DURAN
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 1:1585 PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6931
Mailing Address - Country:US
Mailing Address - Phone:201-292-1590
Mailing Address - Fax:
Practice Address - Street 1:1585 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-6931
Practice Address - Country:US
Practice Address - Phone:201-292-1590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344286363LF0000X
NJ26NJ15077800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily