Basic Information
| Provider Information | |||||||||
| NPI: | 1245882877 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAVERS | ||||||||
| FirstName: | AIMEE | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2550 GRAY FALLS DR | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770776674 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134222921 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2550 GRAY FALLS DR STE 150 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770776687 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134222920 | ||||||||
| FaxNumber: | 2817208809 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2019 | ||||||||
| LastUpdateDate: | 03/16/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | AP142202 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363L00000X | AP142202 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.