Provider Demographics
NPI:1619200359
Name:KILCREASE, LAUREN D (RN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:D
Last Name:KILCREASE
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1330 HIGHWAY 231 S
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-3058
Mailing Address - Country:US
Mailing Address - Phone:334-566-0546
Mailing Address - Fax:334-670-5492
Practice Address - Street 1:1350 HIGHWAY 231 S
Practice Address - Street 2:SUITE A
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-3058
Practice Address - Country:US
Practice Address - Phone:334-566-0546
Practice Address - Fax:334-566-3798
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-097979363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily