Provider Demographics
NPI:1073916839
Name:BROOKSHIRE, LAUREN (CPNP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:BROOKSHIRE
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 1:201 BREWER LN
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2305
Mailing Address - Country:US
Mailing Address - Phone:919-260-6200
Mailing Address - Fax:
Practice Address - Street 1:400 E COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-5221
Practice Address - Country:US
Practice Address - Phone:336-884-0224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007223363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics