Healthcare Provider Details

I. General information

NPI: 1881138022
Provider Name (Legal Business Name): LAUREN COWAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2016
Last Update Date: 03/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8775 NORWIN AVE STE 108
NORTH HUNTINGDON PA
15642-7705
US

IV. Provider business mailing address

134 INDUSTRIAL PARK RD STE 1500
GREENSBURG PA
15601-8153
US

V. Phone/Fax

Practice location:
  • Phone: 724-765-1225
  • Fax: 724-765-1227
Mailing address:
  • Phone: 724-689-1822
  • Fax: 724-522-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP016929
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: