Ketelsen, Laura Pavel
Ketelsen, Laura Pavel is an individual health care provider with primary practice located at 5316 Nesconset Hwy , Port Jefferson Station NY 11776-2591. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ketelsen, Laura Pavel can be contacted via phone (833) 660-7246.Contact Information
Primary practice address
5316 Nesconset Hwy
Port Jefferson Station NY 11776-2591
Phone: (833) 660-7246
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 128906 | Florida |
Profile Details
NPI number | 1578194247 |
---|---|
LBN Legal business name | Ketelsen, Laura Pavel |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2020 |
Last updated | Sep 12th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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