Provider Demographics
NPI:1558555656
Name:MARR, LAUREN (ARNP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:MARR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:10 PROSPECT ST
Mailing Address - Street 2:102
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3922
Mailing Address - Country:US
Mailing Address - Phone:603-883-1626
Mailing Address - Fax:603-881-9914
Practice Address - Street 1:10 PROSPECT ST
Practice Address - Street 2:102
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3922
Practice Address - Country:US
Practice Address - Phone:603-883-1626
Practice Address - Fax:603-881-9914
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH037887-23363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010522Medicaid
NH30010522Medicaid
NHS65026Medicare UPIN