Provider Demographics
NPI:1629453790
Name:SEELEY, LAUREN ANDREA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ANDREA
Last Name:SEELEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ANDREA
Other - Last Name:MCCLELLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:520 GOLDEN RIDGE RD
Mailing Address - Street 2:302
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-8902
Mailing Address - Country:US
Mailing Address - Phone:813-318-1919
Mailing Address - Fax:
Practice Address - Street 1:11650 W 2ND PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1527
Practice Address - Country:US
Practice Address - Phone:813-318-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1033847363LF0000X
COAPN.0993044-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily