Individual
MRS. LAUREN DAVISON WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(470) 732-4000
Mailing address
9010 STRADA STELL CT STE 203, NAPLES, FL 34109-4427
(239) 254-1316
(239) 254-1686
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN264855
GA
363L00000X
Nurse Practitioner
Primary
11011400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11011400
STATE NURSE PRACTITIONER LICENSE
FL
Enumeration date
04/10/2020
Last updated
05/11/2021
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