Provider Demographics
NPI:1174676902
Name:CAREW, LAUREN MADELEINE (RNFA)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MADELEINE
Last Name:CAREW
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3981 SW 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6816
Mailing Address - Country:US
Mailing Address - Phone:954-816-9681
Mailing Address - Fax:
Practice Address - Street 1:3981 SW 30TH AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6816
Practice Address - Country:US
Practice Address - Phone:954-816-9681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9173726163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL312313800Medicaid