Provider Demographics
NPI:1437925195
Name:BEATTIE, LAUREN CASEY (FNP-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:CASEY
Last Name:BEATTIE
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 1:512 WORLD TOUR DR
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349-5926
Mailing Address - Country:US
Mailing Address - Phone:864-621-4786
Mailing Address - Fax:
Practice Address - Street 1:107 PARRIS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-1924
Practice Address - Country:US
Practice Address - Phone:864-274-3006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28099207Q00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine