Provider Demographics
NPI:1871918482
Name:MEENS, LOREN (RN)
Entity type:Individual
Prefix:
First Name:LOREN
Middle Name:
Last Name:MEENS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 COLLIER RD NW
Mailing Address - Street 2:APT M2
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2941
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1150 COLLIER RD NW
Practice Address - Street 2:APT M2
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2941
Practice Address - Country:US
Practice Address - Phone:229-869-0120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN235767163W00000X
TN199219163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse