Provider Demographics
NPI:1720803232
Name:KUEHN, LAUREN ELAINE (RN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELAINE
Last Name:KUEHN
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 1:37608 N POPLAR RD
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-8116
Mailing Address - Country:US
Mailing Address - Phone:623-810-5324
Mailing Address - Fax:
Practice Address - Street 1:37608 N POPLAR RD
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85140-8116
Practice Address - Country:US
Practice Address - Phone:623-810-5324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN206383163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse