Provider Demographics
NPI:1043749112
Name:MCMARLIN, LAUREN EISENHAUER (DNP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:EISENHAUER
Last Name:MCMARLIN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:RAE
Other - Last Name:EISENHAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:800 DENOW ROAD
Mailing Address - Street 2:E2
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534
Mailing Address - Country:US
Mailing Address - Phone:609-775-9545
Mailing Address - Fax:609-775-9545
Practice Address - Street 1:800 DENOW ROAD
Practice Address - Street 2:E2
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534
Practice Address - Country:US
Practice Address - Phone:609-775-9545
Practice Address - Fax:609-775-9545
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00736300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily