Provider Demographics
NPI:1326512534
Name:HEILMAN, LAUREN MEADOWS (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MEADOWS
Last Name:HEILMAN
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 DAHLGREEN RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-4069
Mailing Address - Country:US
Mailing Address - Phone:919-656-6247
Mailing Address - Fax:
Practice Address - Street 1:4109 WAKE FOREST RD STE 300
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-2508
Practice Address - Country:US
Practice Address - Phone:919-250-3478
Practice Address - Fax:919-250-6272
Is Sole Proprietor?:No
Enumeration Date:2019-01-22
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011381363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics