Provider Demographics
NPI:1326701277
Name:BUSE, LAUREN GRACE (DNP, APRN-NP, FNP-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:GRACE
Last Name:BUSE
Suffix:
Gender:F
Credentials:DNP, APRN-NP, FNP-C
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:GRACE
Other - Last Name:AWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN-NP, FNP-C
Mailing Address - Street 1:299 E 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4108
Mailing Address - Country:US
Mailing Address - Phone:541-682-3938
Mailing Address - Fax:541-682-8743
Practice Address - Street 1:299 E 18TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4108
Practice Address - Country:US
Practice Address - Phone:541-682-3938
Practice Address - Fax:541-682-8743
Is Sole Proprietor?:No
Enumeration Date:2021-10-18
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202106237163W00000X
NE81327163W00000X
OR202111824NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse