MEDICARE: LAUREN BELLE GOLDSMITH CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1-181793	AL

General Provider Information

NPI Number	:	1265132781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN BELLE GOLDSMITH CRNP

Provider Business Mailing Address
First Line	:	420 LOWELL DR SE STE 302
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-3762
Country	:	US
Telephone Number	:	256-265-1910
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 LOWELL DR SE STE 302
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-3762
Country	:	US
Telephone Number	:	256-265-1910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2023
Last Update Date	:	02/07/2024

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