Provider Demographics
NPI:1871174169
Name:MILLER, LAUREN JANE (FNP)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:JANE
Last Name:MILLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64724-1617
Mailing Address - Country:US
Mailing Address - Phone:660-476-2121
Mailing Address - Fax:
Practice Address - Street 1:408 E 7TH ST
Practice Address - Street 2:
Practice Address - City:APPLETON CITY
Practice Address - State:MO
Practice Address - Zip Code:64724-1617
Practice Address - Country:US
Practice Address - Phone:660-476-2121
Practice Address - Fax:660-476-2130
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021026205363L00000X, 363LF0000X
MO2016019155163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care