Mrs. Lara Mitchell Bauducco, APN
Nurse Practitioner, Psych/Mental Health in Mount Holly, New Jersey
1750194502- Practice location
- 100 Ashurst Ln Ste 115, Mount Holly, NJ 08060-1202
- Phone
- 609-853-5494
- Fax
- —
- Last updated
- January 27, 2025
Lara Mitchell Bauducco is a Nurse Practitioner, Psych/Mental Health based in Mount Holly, NJ. Lara Mitchell Bauducco practices in Mount Holly, NJ and has the professional credentials of APN. The NPI Number for Lara Mitchell Bauducco is 1750194502 and holds a License No. 26NJ15250200 (NJ). The current practice location address for Lara Mitchell Bauducco is 100 Ashurst Ln Ste 115, Mount Holly, NJ 08060-1202 and can be reached out via phone at 609-853-5494.
Provider Profile Details
- NPI Number
- 1750194502
- Provider Name
- Lara Mitchell Bauducco
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Ashurst Ln Ste 115, Mount Holly, NJ 08060-1202
- Phone Number
- 609-853-5494
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 27, 2025
- Last Update Date
- January 27, 2025
- Certification Date
- January 27, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Ashurst Ln Ste 115
Mount Holly, NJ 08060-1202 - City
- Mount Holly
- State
- New Jersey
- Zip
- 08060-1202
- Phone Number
- 609-853-5494
Provider Business Mailing Address Details
- Address
- 1328 Shelly Ln
Cherry Hill, NJ 08034-3119 - City
- Cherry Hill
- State
- NJ
- Zip
- 08034-3119
- Phone Number
- 267-242-2149
License Information
- License Number
- 26NJ15250200
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Mount Holly, NJ
View all Nurse Practitioner, Psych/Mental Health providers in Mount Holly →- Amanda L Mitchell, APN, PMHNP-BCNurse Practitioner, Psych/Mental Health · NPI 1558075838
- Amber Caulfield, APN, PMHNP-BCNurse Practitioner, Psych/Mental Health · NPI 1063269900
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- Emma E Bittner, PMHNP-BCNurse Practitioner, Psych/Mental Health · NPI 1245028455
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Frequently Asked Questions
What is the NPI number of Mrs. Lara Mitchell Bauducco, APN?
The NPI number of Mrs. Lara Mitchell Bauducco, APN is 1750194502. It was assigned on January 27, 2025 and is currently active in the NPPES registry.
What is the specialty of Mrs. Lara Mitchell Bauducco, APN?
Mrs. Lara Mitchell Bauducco, APN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15250200.
Where does Mrs. Lara Mitchell Bauducco, APN practice?
The practice location is 100 Ashurst Ln Ste 115, Mount Holly, NJ 08060-1202. The office can be reached at 609-853-5494 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750194502 directly on the NPPES registry website.