Individual ProviderLauren Michelle HenneckeNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6002 Shadow Valley Cv, Unit B, Austin, TX 78731-4134(832) 282-8204PECOS EnrollmentBased on the most recent information from CMS, provider Lauren Michelle Hennecke does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:13 AM.Profile DetailsProvider ID1730622424Provider TypeIndividualFull NameHennecke, Lauren MichelleCredentialFNP-CGenderFemaleSole ProprietorYesEnumeration Date11/29/2016Last Updated9/17/2021Contact InformationPractice LocationPractice Address6002 Shadow Valley Cv, Unit B, Austin, TX 78731-4134Phone(832) 282-8204FaxUnlisted FaxMailing LocationMailing Address6002 Shadow Valley Cv, Unit B, Austin, TX 78731-4134Phone(832) 282-8204FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP132636Texas