Provider Demographics
NPI:1073572970
Name:BOND, LAUREN BRIEN (CRNP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:BRIEN
Last Name:BOND
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7580 BUCKINGHAM BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-3210
Mailing Address - Country:US
Mailing Address - Phone:410-729-5100
Mailing Address - Fax:
Practice Address - Street 1:125 SHOREWAY DR STE 120
Practice Address - Street 2:
Practice Address - City:QUEENSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21658-1681
Practice Address - Country:US
Practice Address - Phone:410-827-4001
Practice Address - Fax:410-827-4333
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR176421363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD411779401Medicaid
MD895749-01OtherCAREFIRST MD RENDERING
MD214055OtherEHP/PRIORITY PARTNERS
MD7291171OtherAETNA PPO
MD7605-0086OtherCAREFIRST BLUECHOICE
MDP00726149OtherRAILROAD MEDICARE
MD6293428OtherAETNA HMO
MD7291171OtherAETNA PPO
MDS79567Medicare UPIN
MD226LP849Medicare PIN