MEDICARE: DR. LAUREN ASHLEY BONDURANT DNP, APRN, FNP-C

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
1	363LF0000X	Family Nurse Practitioner	BOND-WT7SP	NC

General Provider Information

NPI Number	:	1285599126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN ASHLEY BONDURANT DNP, APRN, FNP-C

Provider Business Mailing Address
First Line	:	1221 S HAWTHORNE RD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-4311
Country	:	US
Telephone Number	:	336-406-3794
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 ROBERT PORCHER WAY STE 200
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-2559
Country	:	US
Telephone Number	:	336-282-0376
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	02/09/2026

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