Provider Demographics
NPI:1932853371
Name:ATCHISON, LAUREN FREDERICK (CRNP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:FREDERICK
Last Name:ATCHISON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 LOVELADY DR
Mailing Address - Street 2:
Mailing Address - City:PLANTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36758-2608
Mailing Address - Country:US
Mailing Address - Phone:334-380-1787
Mailing Address - Fax:
Practice Address - Street 1:1911 LAY DAM RD
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-8351
Practice Address - Country:US
Practice Address - Phone:334-380-1787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-144694363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health