Individual provider · Type 1 NPI

Lara M. Tregillies, NP

Family Nurse Practitioner · Staten Island, NY

NPI number 1124668751 Active

Practice location

130 Rose Ave
Staten Island, NY 10306-2241

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	344841 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1124668751

Lara M. Tregillies, NP's National Provider Identifier is 1124668751, issued on Jan 11, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Jan 11, 2020.