Provider Demographics
NPI:1215378815
Name:SIMONE, LAUREN JEANETTE (RN)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:JEANETTE
Last Name:SIMONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 CUMMINGS CTR STE 220B
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6113
Mailing Address - Country:US
Mailing Address - Phone:978-927-9824
Mailing Address - Fax:978-922-5904
Practice Address - Street 1:100 CUMMINGS CTR STE 220B
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6113
Practice Address - Country:US
Practice Address - Phone:978-927-9824
Practice Address - Fax:978-922-5904
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN273979163W00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse