Provider Demographics
NPI:1326482894
Name:PARRILLA, LAUREN AMANDA (ANP-C)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:AMANDA
Last Name:PARRILLA
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:AMANDA
Other - Last Name:GREB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:44 WHITING ST
Mailing Address - Street 2:
Mailing Address - City:LUNENBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01462-1451
Mailing Address - Country:US
Mailing Address - Phone:978-514-1436
Mailing Address - Fax:
Practice Address - Street 1:50 STANIFORD ST FL 9
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2506
Practice Address - Country:US
Practice Address - Phone:617-724-6610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-26
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2277127163W00000X, 363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health