Provider Demographics
NPI:1316602360
Name:DEMPSEY, LAUREN MARY (APRN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MARY
Last Name:DEMPSEY
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MARY
Other - Last Name:BONHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:165 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-2513
Mailing Address - Country:US
Mailing Address - Phone:916-380-2233
Mailing Address - Fax:
Practice Address - Street 1:85 BARNES RD STE 202
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-1832
Practice Address - Country:US
Practice Address - Phone:203-403-2937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-04
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10196363LP0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics