Provider Demographics
NPI:1730604570
Name:GIAMICHAEL, LAUREN P (FNP-BC, CWOCN-AP)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:P
Last Name:GIAMICHAEL
Suffix:
Gender:F
Credentials:FNP-BC, CWOCN-AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 SCHNEIDER RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-4682
Mailing Address - Country:US
Mailing Address - Phone:845-489-0679
Mailing Address - Fax:
Practice Address - Street 1:6511 SPRING BROOK AVE
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-3709
Practice Address - Country:US
Practice Address - Phone:845-871-3888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-12
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF342178-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF342178-1OtherNURSE PRACTITIONER IN FAMILY HEALTH LICENSE