Provider Demographics
NPI:1386474278
Name:KILBY, LAURINA JOLYN (NP)
Entity type:Individual
Prefix:MRS
First Name:LAURINA
Middle Name:JOLYN
Last Name:KILBY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:LAURINA
Other - Middle Name:JOLYN
Other - Last Name:STENSRUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:67 W 73RD ST APT 1A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3154
Mailing Address - Country:US
Mailing Address - Phone:928-710-6428
Mailing Address - Fax:
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-562-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF433087-01363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care