Provider Demographics
NPI:1134509284
Name:ELSAS, LAUREN A (ARNP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:A
Last Name:ELSAS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 622047
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32862-2047
Mailing Address - Country:US
Mailing Address - Phone:850-432-6851
Mailing Address - Fax:850-438-6821
Practice Address - Street 1:1717 NORTH E STREET
Practice Address - Street 2:STE 300
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-6336
Practice Address - Country:US
Practice Address - Phone:850-432-6821
Practice Address - Fax:850-438-6821
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9292527363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner