Provider Demographics
NPI:1164813317
Name:KIRBY, LAUREN E (FNP-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:KIRBY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 N LAURENT ST
Mailing Address - Street 2:SUITE 550
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5468
Mailing Address - Country:US
Mailing Address - Phone:361-572-0333
Mailing Address - Fax:361-572-0104
Practice Address - Street 1:1700 GALLAGHER DR
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-1810
Practice Address - Country:US
Practice Address - Phone:903-893-1399
Practice Address - Fax:903-893-8157
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127392363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner