Provider Demographics
NPI:1063022853
Name:RANIERI, LAUREN (CPNP)
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:
Last Name:RANIERI
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 T ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2122
Mailing Address - Country:US
Mailing Address - Phone:321-289-5365
Mailing Address - Fax:
Practice Address - Street 1:5301 WESTBARD CIR STE 3
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-1463
Practice Address - Country:US
Practice Address - Phone:301-654-6303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC003251363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics