Provider Demographics
NPI:1902878846
Name:WEISSFLOG, LAURA ORSATTI (MSN, APRN, BC, CRNP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ORSATTI
Last Name:WEISSFLOG
Suffix:
Gender:F
Credentials:MSN, APRN, BC, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 LOCKS FARM LN
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-4983
Mailing Address - Country:US
Mailing Address - Phone:610-564-0630
Mailing Address - Fax:610-458-9015
Practice Address - Street 1:145 LITTLE CONESTOGA RD
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-9562
Practice Address - Country:US
Practice Address - Phone:610-458-9282
Practice Address - Fax:610-458-9015
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-05
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008652363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ40766Medicare UPIN
PA094547GNYMedicare ID - Type Unspecified