Provider Demographics
NPI:1902226152
Name:KUSI, LAUREN BEVERLEE (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:BEVERLEE
Last Name:KUSI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8210 MACEDONIA COMMONS BLVD STE 3B-1096
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1860
Mailing Address - Country:US
Mailing Address - Phone:877-779-2873
Mailing Address - Fax:888-505-0251
Practice Address - Street 1:8210 MACEDONIA COMMONS
Practice Address - Street 2:SUITE 3B PMB 1096
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-3640
Practice Address - Country:US
Practice Address - Phone:877-779-2873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-25
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0026733363LP0808X
OHRN.418989163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health