Provider Demographics
NPI:1437748340
Name:WILLIAMS, LAUREN ALEXANDRIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ALEXANDRIA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12201 RENFERT WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5368
Mailing Address - Country:US
Mailing Address - Phone:512-425-3818
Mailing Address - Fax:
Practice Address - Street 1:12201 RENFERT WAY STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5368
Practice Address - Country:US
Practice Address - Phone:512-425-3840
Practice Address - Fax:512-425-3879
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1013535363LF0000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily