Provider Demographics
NPI:1194505446
Name:EARNSHAW, LAUREN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:EARNSHAW
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 1:1009 HARTZ RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19543-9565
Mailing Address - Country:US
Mailing Address - Phone:610-781-1730
Mailing Address - Fax:
Practice Address - Street 1:1287 COUNTY WELFARE RD
Practice Address - Street 2:
Practice Address - City:LEESPORT
Practice Address - State:PA
Practice Address - Zip Code:19533-9397
Practice Address - Country:US
Practice Address - Phone:610-208-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP028182363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily