Provider Demographics
NPI:1770542615
Name:HINSON- BROWN, LAUREN R (CRNP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:R
Last Name:HINSON- BROWN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FERNLEIGH DR
Mailing Address - Street 2:APT C2
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-1342
Mailing Address - Country:US
Mailing Address - Phone:207-712-0662
Mailing Address - Fax:
Practice Address - Street 1:10 FERNLEIGH DR
Practice Address - Street 2:APT C2
Practice Address - City:COOPERSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13326-1342
Practice Address - Country:US
Practice Address - Phone:207-712-0662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF307282-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health