Provider Demographics
NPI:1710775481
Name:MCLAUGHLIN, AUDREY C (PHD, MSN, RN)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:C
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:PHD, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 210
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-0210
Mailing Address - Country:US
Mailing Address - Phone:940-441-7637
Mailing Address - Fax:
Practice Address - Street 1:19197 RAMSEY RD
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-7610
Practice Address - Country:US
Practice Address - Phone:940-441-7637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX718086163WN1003X, 163W00000X
133NN1002X
MI175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No163W00000XNursing Service ProvidersRegistered Nurse
No175F00000XOther Service ProvidersNaturopath