Provider Demographics
NPI:1790397131
Name:TRAVER, LAUREN KRISTEN (APRN)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:KRISTEN
Last Name:TRAVER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4113
Mailing Address - Country:US
Mailing Address - Phone:702-384-5101
Mailing Address - Fax:
Practice Address - Street 1:2000 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4113
Practice Address - Country:US
Practice Address - Phone:702-384-5101
Practice Address - Fax:702-382-5675
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN77966163WC0200X
NV826387363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine