Provider Demographics
NPI:1912445461
Name:BERL, LAUREN ANN (FNP-C)
Entity type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:ANN
Last Name:BERL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:ANN
Other - Last Name:BERL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAUREN BERL BRANNON
Mailing Address - Street 1:300 NEW RIVER PKWY STE 37
Mailing Address - Street 2:
Mailing Address - City:HARDEEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29927-4545
Mailing Address - Country:US
Mailing Address - Phone:843-208-2420
Mailing Address - Fax:843-208-2424
Practice Address - Street 1:300 NEW RIVER PKWY STE 37
Practice Address - Street 2:
Practice Address - City:HARDEEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29927-4545
Practice Address - Country:US
Practice Address - Phone:843-208-2420
Practice Address - Fax:843-208-2424
Is Sole Proprietor?:No
Enumeration Date:2017-02-05
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN225594363LF0000X
SC22878363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily