Provider Demographics
NPI:1912707977
Name:SCHIFFENHAUS, LAUREN MARIE (RN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MARIE
Last Name:SCHIFFENHAUS
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 1:147 STATE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3840
Mailing Address - Country:US
Mailing Address - Phone:774-722-5526
Mailing Address - Fax:
Practice Address - Street 1:2299 WOODBURY AVE STE 1
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:NH
Practice Address - Zip Code:03801-7854
Practice Address - Country:US
Practice Address - Phone:603-451-2371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-18
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN90736163W00000X
NH112366-21163W00000X
MARN2390817363LP0808X, 163WP0808X
NH112366-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health