Provider Demographics
NPI:1275347999
Name:DONOFRIO, LAURAN MARIE (MSN, ARNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:LAURAN
Middle Name:MARIE
Last Name:DONOFRIO
Suffix:
Gender:F
Credentials:MSN, ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 1ST ST APT 3
Mailing Address - Street 2:
Mailing Address - City:INDIAN ROCKS BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33785-2697
Mailing Address - Country:US
Mailing Address - Phone:727-742-9193
Mailing Address - Fax:
Practice Address - Street 1:721 1ST ST APT 3
Practice Address - Street 2:
Practice Address - City:INDIAN ROCKS BEACH
Practice Address - State:FL
Practice Address - Zip Code:33785-2697
Practice Address - Country:US
Practice Address - Phone:727-742-9193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11037477363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily