Provider Demographics
NPI:1679830921
Name:DUARTE, LAUREN BROOKE (RN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:BROOKE
Last Name:DUARTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 GREEN MEADOW BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-3708
Mailing Address - Country:US
Mailing Address - Phone:214-298-4412
Mailing Address - Fax:210-247-9463
Practice Address - Street 1:130 GREEN MEADOW BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-3708
Practice Address - Country:US
Practice Address - Phone:214-298-4412
Practice Address - Fax:210-247-9463
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1195939163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse