Mader, Lauren

Mader, Lauren is an individual health care provider with primary practice located at 3280 N Mcmullen Booth Rd Ste 200 , Clearwater FL 33761-2046. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mader, Lauren can be contacted via phone (727) 216-1141.

Contact Information

Primary practice address
3280 N Mcmullen Booth Rd Ste 200 Clearwater FL 33761-2046
Phone: (727) 216-1141
Fax: (727) 796-1590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11004670 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11004670 Florida

Profile Details

NPI number 1578180295
LBN Legal business name Mader, Lauren
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2020
Last updated Oct 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578180295 NPPES
Florida MEDICAID 111406900

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