Provider Demographics
NPI:1679199285
Name:LAUZIER, CHRISTINA MARY (FNP-STUDENT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARY
Last Name:LAUZIER
Suffix:
Gender:F
Credentials:FNP-STUDENT
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARY
Other - Last Name:LAUZIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-STUDENT
Mailing Address - Street 1:10 FERRY ST STE 302
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5081
Mailing Address - Country:US
Mailing Address - Phone:401-874-1000
Mailing Address - Fax:603-255-7286
Practice Address - Street 1:45 UPPER COLLEGE RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:RI
Practice Address - Zip Code:02881-2003
Practice Address - Country:US
Practice Address - Phone:401-874-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-19
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
RIAPRN02714363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program