Individual
MRS. LAUREN EVERS STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-3288
(352) 265-0154
Mailing address
SHANDS PEDIATRIC LIVER TRANSPLANT, PO BOX 100271, GAINESVILLE, FL 32610-0271
(352) 265-3288
(352) 265-0154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9216529
FL
363LP0200X
Pediatric Nurse Practitioner
AP60031358
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9216529
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308578300
—
FL
Enumeration date
04/17/2007
Last updated
03/09/2011
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