Doctor Name: | LAUREN B. CHRISCOE |
NPI Number: | 1225412778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AGPCNP-BC |
License Number: | 5007756 |
Business Practice Address: | 102 Gossman Rd Southern Pines, NC - 283872224 |
Business Phone Number: | 9102464140 |
Business Fax Number: | 9106952192 |
Mailing Address: | 205 Page Rd, PINEHURST |
State: | NC |
Postal Code: | 283748749 |
Phone Number: | 9102955511 |
Fax Number: | 9106952192 |
NPI Enumeration Date: | 07/15/2015 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 5007756 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |