Provider Demographics
NPI:1093068397
Name:NOURPARVAR, LAUREN EICHEL (MSN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:EICHEL
Last Name:NOURPARVAR
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:EICHEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, NP-C
Mailing Address - Street 1:2580 OGLETHORPE CIR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-6602
Mailing Address - Country:US
Mailing Address - Phone:404-202-9453
Mailing Address - Fax:
Practice Address - Street 1:2580 OGLETHORPE CIR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30319-6602
Practice Address - Country:US
Practice Address - Phone:404-202-9453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN209239363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care