Provider Demographics
NPI:1942719042
Name:COLLINS-CHASE, LAUREN (FNP-C, MSN-FNP, MPH)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:COLLINS-CHASE
Suffix:
Gender:F
Credentials:FNP-C, MSN-FNP, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CAPRICORN CT
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2566
Mailing Address - Country:US
Mailing Address - Phone:410-245-9237
Mailing Address - Fax:
Practice Address - Street 1:1133 21ST ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036
Practice Address - Country:US
Practice Address - Phone:202-416-2034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-21
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR196796163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse