National Provider Identifier

Laurie Delores Marie Mansfield, RN

Laurie Delores Marie Mansfield, RN is listed in the NPPES registry with a primary specialty of Neonatal Intensive Care Registered Nurse in Brockport, NY and a listed phone number of (585) 392-5190.

NPI 1497954861Brockport, NYNeonatal Intensive Care Registered Nurse

Profile Overview

NPI
1497954861
Provider Type
Individual
Primary Specialty
Neonatal Intensive Care Registered Nurse
Enumeration Date
July 16, 2007
Last Updated
July 16, 2007

Practice Location

  • 90 Hideaway Ln
  • Brockport, NY 14420-9365

Phone: (585) 392-5190

Specialties

  • Neonatal Intensive Care Registered Nurse (163WN0002X)
  • Pediatric Registered Nurse (163WP0200X)
Full Record
NPI
1497954861
Entity Type
Individual
Last Name
Mansfield
First Name
Laurie
Middle Name
Delores Marie
Credential
RN
Mailing Street Address
90 Hideaway Ln
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-9365
Mailing Country
US
Mailing Phone
(585) 392-5190
Practice Street Address
90 Hideaway Ln
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-9365
Practice Country
US
Practice Phone
(585) 392-5190
Enumeration Date
July 16, 2007
Last Updated
July 16, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Neonatal Intensive Care Registered Nurse (163WN0002X), Pediatric Registered Nurse (163WP0200X)
Other Identifiers
02065209 (NY)