Provider Demographics
NPI:1861275711
Name:HAMBAUGH, LAUREN (BSN, RN, DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:HAMBAUGH
Suffix:
Gender:F
Credentials:BSN, RN, DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 VILLAGE HILL DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-3526
Mailing Address - Country:US
Mailing Address - Phone:281-723-9856
Mailing Address - Fax:
Practice Address - Street 1:4015 I 45 N STE 220
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-5076
Practice Address - Country:US
Practice Address - Phone:936-441-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1139933363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily