Provider Demographics
NPI:1699258806
Name:CARNES, LAUREN DANIELLE (RN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:DANIELLE
Last Name:CARNES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 TURNER RIDGE DR APT 9212
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-7415
Mailing Address - Country:US
Mailing Address - Phone:806-418-0088
Mailing Address - Fax:
Practice Address - Street 1:1810 TURNER RIDGE DR APT 9212
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110-7415
Practice Address - Country:US
Practice Address - Phone:806-418-0088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX903396163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse