1013325992 NPI number — MRS. LAUREN BRANCH PARKER APRN, FNP-C

Table of content: MRS. LAUREN BRANCH PARKER APRN, FNP-C (NPI 1013325992)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013325992 NPI number — MRS. LAUREN BRANCH PARKER APRN, FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARKER
Provider First Name:
LAUREN
Provider Middle Name:
BRANCH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN, FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013325992
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/12/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 232378
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89105-2378
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-918-7771
Provider Business Mailing Address Fax Number:
702-745-2113

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2637 W HORIZON RIDGE PKWY STE 130
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENDERSON
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89052-4835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-918-7771
Provider Business Practice Location Address Fax Number:
702-745-2113
Provider Enumeration Date:
07/23/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP07935 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: APRN002292 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 06203307 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2379381 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1013325992 . This is a "SMA MEDICAID" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: V114592 . This is a "SMA MEDICARE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".




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