Individual provider · Type 1 NPI

Lara Beth Wahlberg, DNP

Primary Care Nurse Practitioner · New York, NY

NPI number 1881070092 Active

Practice location

462 1st Ave
New York, NY 10016-9196

Call (212) 562-5278 Map

Mailing address

508 E 78th St, Apt 2-M
New York, NY 10075-8800

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XF307409-1 (NY)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1881070092

Lara Beth Wahlberg, DNP's National Provider Identifier is 1881070092, issued on Aug 11, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New York, NY. The record was last updated on Aug 11, 2015.