National Provider Identifier

Laura Ann Mangerian-Smith, RN

Laura Ann Mangerian-Smith, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Fairport, NY and a listed phone number of (585) 421-2157.

NPI 1346964905Fairport, NYRegistered Nurse

Profile Overview

NPI
1346964905
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
September 28, 2022
Last Updated
September 28, 2022

Practice Location

  • 211 Hamilton RD
  • Fairport, NY 14450-9711

Phone: (585) 421-2157

Mailing Address

  • 23 Kirklees RD
  • Pittsford, NY 14534-1557

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1346964905
Entity Type
Individual
Last Name
Mangerian-Smith
First Name
Laura
Middle Name
Ann
Credential
RN
Provider Other Last Name
Mangerian
Provider Other First Name
Laura
Provider Other Credential Text
RN
Provider Other Last Name Type Code
1
Mailing Street Address
23 Kirklees RD
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-1557
Mailing Country
US
Mailing Phone
(585) 298-4757
Practice Street Address
211 Hamilton RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-9711
Practice Country
US
Practice Phone
(585) 421-2157
Practice Fax
(585) 421-8722
Enumeration Date
September 28, 2022
Last Updated
September 28, 2022
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
September 28, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)