Provider Demographics
NPI:1700419280
Name:CROTTS, LAUREN ELIZABETH FLETCHER (MSN, MBA, APRN,FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ELIZABETH FLETCHER
Last Name:CROTTS
Suffix:
Gender:F
Credentials:MSN, MBA, APRN,FNP-C
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:153 CAUDLE MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:ADVANCE
Mailing Address - State:NC
Mailing Address - Zip Code:27006-6971
Mailing Address - Country:US
Mailing Address - Phone:336-345-7579
Mailing Address - Fax:
Practice Address - Street 1:3878 OXFORD STATION WAY
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1340
Practice Address - Country:US
Practice Address - Phone:336-306-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5012843363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily