| NPI | 1457911786 |
|---|---|
| Former Name | LAUREN NICOLE SHIVELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN10016876) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD F06191176) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-04-15 |