Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lorana Bazemore, AGPCNP-BC

Individual provider Nurse Practitioner · NPI 1952935975

Lorana Bazemore, AGPCNP-BC is a Nurse Practitioner in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

1425 Madison Ave
New York, NY 10029-6574
Phone: (212) 241-5315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 309431 (NY)

Record details

NPI number1952935975
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedFebruary 28, 2020
Last updated in NPPESAugust 13, 2022
Certification dateAugust 13, 2022

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