Provider Demographics
NPI:1275875205
Name:HANSEN, LAUREN LOUISE (MED, MSN, WHNP-BC,)
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:LOUISE
Last Name:HANSEN
Suffix:
Gender:F
Credentials:MED, MSN, WHNP-BC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 WHITE BRIDGE PIKE STE 401
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-1445
Mailing Address - Country:US
Mailing Address - Phone:615-293-0194
Mailing Address - Fax:
Practice Address - Street 1:95 WHITE BRIDGE PIKE STE 401
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-1445
Practice Address - Country:US
Practice Address - Phone:615-293-0194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-15
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17190363LW0102X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health