Individual provider · NPI-1

Laura Ardila, AGNP-C

Nurse Practitioner, Adult Health · Lowell, MA

NPI number1699273540
StatusActive
Last updated in NPPESDec 6, 2023

Details

NPI
1699273540
Entity type
Individual (NPI-1)
Name
Laura Ardila
Credential
AGNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Jan 25, 2018
Certification date
Dec 6, 2023
Last updated
Dec 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult HealthRN2306576MAYes
363LG0600X Nurse Practitioner, Gerontology310768NY
163WM0705X Registered Nurse, Medical-SurgicalRN2306576MA

Practice location

10 Linden St
Lowell, MA 01852

Phone 978-458-7145

Mailing address

10 Linden St
Lowell, MA 01852-2644

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