Provider Demographics
NPI:1114668902
Name:WARREN, LAUREN HENSLEIGH (DNP, CRNA)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:HENSLEIGH
Last Name:WARREN
Suffix:
Gender:F
Credentials:DNP, CRNA
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:FRANCES
Other - Last Name:HENSLEIGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, CRNA
Mailing Address - Street 1:415 S 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-7246
Mailing Address - Country:US
Mailing Address - Phone:601-261-3606
Mailing Address - Fax:601-579-5240
Practice Address - Street 1:415 S 28TH AVE
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-7246
Practice Address - Country:US
Practice Address - Phone:601-261-3606
Practice Address - Fax:601-579-5240
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS901761367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered