Healthcare Provider Details

I. General information

NPI: 1386584480
Provider Name (Legal Business Name): LAUREN HARRIS TOLER BSN,CEN,SANE-A/P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 ELIZABETH AVE
CHOCOWINITY NC
27817-8452
US

IV. Provider business mailing address

37 ELIZABETH AVE
CHOCOWINITY NC
27817-8452
US

V. Phone/Fax

Practice location:
  • Phone: 252-399-8040
  • Fax:
Mailing address:
  • Phone: 252-399-8040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number195239
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: