Provider Demographics
NPI:1811087893
Name:ANDERSON, LAUREN A (RN, WHNP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:A
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:RN, WHNP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:A
Other - Last Name:TOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,WHNP
Mailing Address - Street 1:PO BOX 4439
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4439
Mailing Address - Country:US
Mailing Address - Phone:713-792-2991
Mailing Address - Fax:
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4009
Practice Address - Country:US
Practice Address - Phone:713-792-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP113853363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176290801Medicaid
TX176290801Medicaid
8D8065Medicare ID - Type Unspecified