Provider Demographics
NPI:1538426119
Name:EIKREN, LAUREN ANNE (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ANNE
Last Name:EIKREN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:ANNE
Other - Last Name:SEITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:16300 MILL CREEK BLVD STE 119
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-1278
Mailing Address - Country:US
Mailing Address - Phone:425-522-2455
Mailing Address - Fax:
Practice Address - Street 1:16300 MILL CREEK BLVD STE 119
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1278
Practice Address - Country:US
Practice Address - Phone:425-522-2455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61338614163W00000X
WAAP61338613363LP0808X
AZ255906363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse