Healthcare Provider Details

I. General information

NPI: 1114697737
Provider Name (Legal Business Name): LAUREN ALEXANDRA HALPRIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2012 VERNON PL
MELBOURNE FL
32901-4433
US

IV. Provider business mailing address

2012 VERNON PL
MELBOURNE FL
32901-4433
US

V. Phone/Fax

Practice location:
  • Phone: 954-235-0283
  • Fax: 321-951-9320
Mailing address:
  • Phone: 954-235-0283
  • Fax: 321-951-9320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11023184
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number30333
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: