Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAUREL ANN DETTORE, DNSC, MS, RN
Active Sole ProprietorDR. LAUREL ANN DETTORE, DNSC, MS, RN is a Community Health Nurse Practitioner healthcare provider located in BERWYN, Illinois. NPI 1689929879 is currently active in the NPPES registry. Verify at CMS.
Community Health Nurse Practitioner · BERWYN, IL
Registration Details
- NPI Number
- 1689929879
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2012 (14.122117256894 yrs)
- Last Updated
- Jul 13, 2012
- License
-
214132 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6827 STANLEY AVEBERWYN, IL, 604023287Browse IL providers · Browse ZIP 60402
- Phone
- 7087951520
- Fax
- 7087951543
- Primary Specialty
-
Community Health Nurse Practitioner
363LC1500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.