Individual
LAUREN WIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP-S
Contact information
Practice address
1520 CLIFTON RD NE, ATLANTA, GA 30322-4201
(404) 727-7980
Mailing address
11000 WILSHIRE CHASE DR, JOHNS CREEK, GA 30097-1797
(770) 286-0997
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN711221
REGISTERED NURSE
GA
Enumeration date
04/08/2026
Last updated
04/08/2026
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