Provider Demographics
NPI:1033496385
Name:SHEHAN, LAUREN KELSEY (RN, MSN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:KELSEY
Last Name:SHEHAN
Suffix:
Gender:F
Credentials:RN, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2633 SIERRA DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-2672
Mailing Address - Country:US
Mailing Address - Phone:417-880-1327
Mailing Address - Fax:
Practice Address - Street 1:600 NEW WAVERLY PL STE 205
Practice Address - Street 2:SUITE 205
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7404
Practice Address - Country:US
Practice Address - Phone:919-468-6820
Practice Address - Fax:919-468-6484
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC244861363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC38931070Medicare PIN