Doctor Name: | MRS. LAUREN F STUDDARD |
NPI Number: | 1750776167 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-132211 |
Business Practice Address: | 875 Friendship Road Community Hosp Dba Community Medical Arts Cnt Tallassee, AL - 36078 |
Business Phone Number: | 3342833111 |
Business Fax Number: | 3342833656 |
Mailing Address: | 875 Friendship Road, Community Hosp Dba Community Medical Arts Cnt TALLASSEE |
State: | AL |
Postal Code: | 36078 |
Phone Number: | 3342833111 |
Fax Number: | 3342833656 |
NPI Enumeration Date: | 04/02/2015 |
NPI Last Update Date: | 06/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-132211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |