Provider Demographics
NPI:1538997432
Name:LAUX, KATIE ALEXANDRA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:ALEXANDRA
Last Name:LAUX
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2 CROSFIELD AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2233
Mailing Address - Country:US
Mailing Address - Phone:845-368-0286
Mailing Address - Fax:845-368-1653
Practice Address - Street 1:2 CROSFIELD AVE STE 102
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2233
Practice Address - Country:US
Practice Address - Phone:845-368-0286
Practice Address - Fax:845-368-1653
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY354828363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily