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NPI Code Detail

MEDICARE: LAUREN FOREMAN CNM, PMHNP

MEDICARE: LAUREN FOREMAN CNM, PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner35438TN
2367A00000XAdvanced Practice Midwife1011264TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11011264OTHERTXPSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
21011264OTHERTXCERTIFIED NURSE MIDWIFE
335438OTHERTNPSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER

General Provider Information

NPI Number : 1063915668
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN FOREMAN CNM, PMHNP
Provider Business Mailing Address
First Line : 13359 N HIGHWAY 183 STE 406-620
Second Line :
City : AUSTIN
State : TX
Zip : 78750-7153
Country : US
Telephone Number : 443-553-3082
Fax Number :
Provider Business Practice Location Address
First Line : 3600 W PARMER LN STE 108
Second Line :
City : AUSTIN
State : TX
Zip : 78727-4111
Country : US
Telephone Number : 512-368-9370
Fax Number : 512-377-9300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2018
Last Update Date : 02/20/2025

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