Healthcare Provider Details

I. General information

NPI: 1841875150
Provider Name (Legal Business Name): LAUREN CIMBER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN GRIFFIN FNP, RN

II. Dates (important events)

Enumeration Date: 03/17/2021
Last Update Date: 02/02/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8715 E MACKENZIE DR
SCOTTSDALE AZ
85251-2947
US

IV. Provider business mailing address

8715 E MACKENZIE DR
SCOTTSDALE AZ
85251-2947
US

V. Phone/Fax

Practice location:
  • Phone: 253-820-5658
  • Fax:
Mailing address:
  • Phone: 253-820-5658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN212173
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06212635
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number269856
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: