Provider Demographics
NPI:1013292952
Name:CARLSON, LAUREN (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:CARLSON
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 STATE STREET
Mailing Address - Street 2:WILLAMETTE UNIVERSITY - BISHOP WELLNESS CENTER
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301
Mailing Address - Country:US
Mailing Address - Phone:503-703-6062
Mailing Address - Fax:
Practice Address - Street 1:900 STATE STREET
Practice Address - Street 2:WILLAMETTE UNIVERSITY - BISHOP WELLNESS CENTER
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301
Practice Address - Country:US
Practice Address - Phone:503-703-6062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60159025163W00000X
OR201500942NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse