Provider Demographics
NPI:1124559968
Name:NG, LAUREN CELESTE (MSN, CPNP-AC, CCRN)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:CELESTE
Last Name:NG
Suffix:
Gender:F
Credentials:MSN, CPNP-AC, CCRN
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:CELESTE
Other - Last Name:FIKSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:705 OAKBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7509
Mailing Address - Country:US
Mailing Address - Phone:610-368-8907
Mailing Address - Fax:
Practice Address - Street 1:705 OAKBOURNE RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-7509
Practice Address - Country:US
Practice Address - Phone:610-368-8907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY382738363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics