Healthcare Provider Details
I. General information
NPI: 1316737786
Provider Name (Legal Business Name): LAUREN ADELE WOOD CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/08/2025
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1551 MCDOWELL ST
SHARON PA
16146-3823
US
IV. Provider business mailing address
1551 MCDOWELL ST
SHARON PA
16146-3823
US
V. Phone/Fax
- Phone: 724-977-6153
- Fax: 724-977-6153
- Phone: 724-977-6153
- Fax: 724-977-6153
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | SP035218 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | SP032846 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: