Healthcare Provider Details
I. General information
NPI: 1730428764
Provider Name (Legal Business Name): LAUREN HARVEY BARLEW WHNP BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/12/2013
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
115 STRATFORD WAY
SIGNAL MOUNTAIN TN
37377-2543
US
IV. Provider business mailing address
2341 MCCALLIE AVE STE 302
CHATTANOOGA TN
37404-3237
US
V. Phone/Fax
- Phone: 423-432-6282
- Fax:
- Phone: 423-629-9743
- Fax: 423-629-9744
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | APN17374 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 17374 |
| License Number State | TN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | 17374 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: