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NPI Code Detail

MEDICARE: LAUREN PRISBE RN

MEDICARE: LAUREN PRISBE RN
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
1163WW0101XAmbulatory Women's Health Care Registered Nurse95269535CA

General Provider Information

NPI Number : 1962218800
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN PRISBE RN
Provider Business Mailing Address
First Line : 2612 MILTON AVE APT 1
Second Line :
City : FULLERTON
State : CA
Zip : 92831-1459
Country : US
Telephone Number : 703-216-2007
Fax Number :
Provider Business Practice Location Address
First Line : 801 E KATELLA AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-6614
Country : US
Telephone Number : 657-682-8411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2024
Last Update Date : 12/05/2024

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