Provider Demographics
NPI:1043855265
Name:TURNER, LAUREN W (CCNS)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:W
Last Name:TURNER
Suffix:
Gender:F
Credentials:CCNS
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:P
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCNS
Mailing Address - Street 1:904 HAMPSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2513
Mailing Address - Country:US
Mailing Address - Phone:804-357-2497
Mailing Address - Fax:
Practice Address - Street 1:8266 ATLEE RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1804
Practice Address - Country:US
Practice Address - Phone:804-764-7885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0015000973364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist