Provider Demographics
NPI:1770181562
Name:HUME, LAUREN KRISTINE (PNP-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:KRISTINE
Last Name:HUME
Suffix:
Gender:F
Credentials:PNP-C
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:KRISTINE
Other - Last Name:CONTILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9141 GRANT ST STE 115
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9141 GRANT ST STE 115
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4318
Practice Address - Country:US
Practice Address - Phone:303-920-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1620047163W00000X
COAPN.0994167-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse