Provider Demographics
NPI:1720274228
Name:GUEHL, LAUREN (CNM, ANP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:GUEHL
Suffix:
Gender:F
Credentials:CNM, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4458 MEDICAL DR STE 470
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3794
Mailing Address - Country:US
Mailing Address - Phone:210-477-7080
Mailing Address - Fax:
Practice Address - Street 1:4458 MEDICAL DR STE 470
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3748
Practice Address - Country:US
Practice Address - Phone:210-572-4930
Practice Address - Fax:949-655-6012
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP116350367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX738274OtherTX RN LICENSE