Provider Demographics
NPI:1962265629
Name:VIGGIANO, LAUREN LUCY (DNP, FNP-BC, RN-BC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:LUCY
Last Name:VIGGIANO
Suffix:
Gender:F
Credentials:DNP, FNP-BC, RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6333 72ND ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-1805
Mailing Address - Country:US
Mailing Address - Phone:917-717-0254
Mailing Address - Fax:
Practice Address - Street 1:6333 72ND ST
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-1805
Practice Address - Country:US
Practice Address - Phone:917-717-0254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY754446163WM0705X
NY353355363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical