Provider Demographics
NPI:1740807841
Name:SKINNER, LAUREN AUDREY (NP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:AUDREY
Last Name:SKINNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 BIGHORN RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3480
Mailing Address - Country:US
Mailing Address - Phone:970-229-9800
Mailing Address - Fax:970-229-1421
Practice Address - Street 1:2025 BIGHORN RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3480
Practice Address - Country:US
Practice Address - Phone:970-229-9800
Practice Address - Fax:970-229-1421
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996085-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily