Provider Demographics
NPI:1780600395
Name:STEMPKOWSKI, LAURA M (ARNP)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:M
Last Name:STEMPKOWSKI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 STANHOPE AVE
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-1577
Mailing Address - Country:US
Mailing Address - Phone:603-357-4039
Mailing Address - Fax:603-650-4985
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-5091
Practice Address - Fax:603-650-4985
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH022600-23-05363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0NP0585Medicaid
NH80000585Medicaid
NHNP0585Medicare ID - Type Unspecified
VT0NP0585Medicaid