Provider Demographics
NPI:1659007508
Name:TYLER, LAUREN B (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:B
Last Name:TYLER
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:B
Other - Last Name:TREVINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9215 BIRCH SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-7243
Mailing Address - Country:US
Mailing Address - Phone:210-262-3019
Mailing Address - Fax:
Practice Address - Street 1:13656 BRETON RIDGE ST # AH
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-6081
Practice Address - Country:US
Practice Address - Phone:281-429-8780
Practice Address - Fax:281-763-7930
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1088332363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily