Provider Demographics
NPI:1538668520
Name:WARN, LAUREN CHRISTINA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:CHRISTINA
Last Name:WARN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:CHRISTINA
Other - Last Name:JANULIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:233 E ERIE ST STE 304
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-5937
Mailing Address - Country:US
Mailing Address - Phone:313-280-1480
Mailing Address - Fax:
Practice Address - Street 1:233 E. ERIE STREET SUITE 304
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-208-1480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041411635163W00000X
IL209016247363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse