Provider Demographics
NPI:1144094723
Name:ESTRADA, LAUREN NOELLE (RN)
Entity type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:NOELLE
Last Name:ESTRADA
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 1:12877 LEESBURG RD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7436
Mailing Address - Country:US
Mailing Address - Phone:281-757-3297
Mailing Address - Fax:
Practice Address - Street 1:12877 LEESBURG RD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7436
Practice Address - Country:US
Practice Address - Phone:281-757-3297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1621592163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse