Healthcare Provider Details

I. General information

NPI: 1063113751
Provider Name (Legal Business Name): LAUREN ORSO CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2023
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 SPRING GARDEN ST
PHILA PA
19123-3213
US

IV. Provider business mailing address

1306 SPRING GARDEN ST
PHILADELPHIA PA
19123-3213
US

V. Phone/Fax

Practice location:
  • Phone: 833-976-4357
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP027285
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberSP027285
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: