Healthcare Provider Details

I. General information

NPI: 1780193060
Provider Name (Legal Business Name): LAUREN QASBA NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS LAUREN SHEELEY

II. Dates (important events)

Enumeration Date: 09/29/2017
Last Update Date: 09/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

U.S. HOSPITAL LANDSTUHL REGIONAL MEDICAL CENTER
LANDSTUHL GERMANY
66849
DE

IV. Provider business mailing address

CMR 402 BOX 1434
APO AE
09180-0015
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-4210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number076220-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: