Provider Demographics
NPI:1134807761
Name:COX, LAUREN JANE (FNP-C)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:JANE
Last Name:COX
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 VINEYARD DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:UT
Mailing Address - Zip Code:84765-5430
Mailing Address - Country:US
Mailing Address - Phone:435-817-7827
Mailing Address - Fax:
Practice Address - Street 1:640 E 700 S STE 304
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-5741
Practice Address - Country:US
Practice Address - Phone:435-669-9696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12050081-4405207Q00000X
UT12050081-445363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine